| Brain Health Usa Inc | |
|
14541 Delano St Van Nuys CA 91411-2820 | |
| (877) 515-8113 | |
| Not Available |
| Full Name | Brain Health Usa Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 14541 Delano St, Van Nuys, California |
| Authorized Official Name and Position | Ehab S Yacoub (CEO) |
| Authorized Official Contact | 8775158113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brain Health Usa Inc 14541 Delano St Van Nuys CA 91411-2820 Ph: () - | Brain Health Usa Inc 14541 Delano St Van Nuys CA 91411-2820 Ph: (877) 515-8113 |
| NPI Number | 1316792799 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 08/30/2024 |
| Certification Date | 08/30/2024 |
| Medicare PECOS PAC ID | 9739611286 |
|---|---|
| Medicare Enrollment ID | O20241022002473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316792799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ehab S Yacoub |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295884088 PECOS PAC ID: 8921073057 Enrollment ID: I20040831001521 |
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