| Brain Enhancement Institute | |
|
8055 W Manchester Ave Ste 720 Playa Del Rey CA 90293-7202 | |
| (626) 797-9977 | |
| (626) 844-2977 |
| Full Name | Brain Enhancement Institute |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 8055 W Manchester Ave Ste 720, Playa Del Rey, California |
| Authorized Official Name and Position | Terry Egan (DIRECTOR) |
| Authorized Official Contact | 6267979977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Enhancement Institute 8055 W Manchester Ave Ste 720 Playa Del Rey CA 90293-7202 Ph: (626) 797-9977 | Brain Enhancement Institute 8055 W Manchester Ave Ste 720 Playa Del Rey CA 90293-7202 Ph: (626) 797-9977 |
| NPI Number | 1750656245 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750656245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | G67163 (California) | Primary |
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