| Pacifica Brain Health Residency Program | |
|
14541 Delano St Van Nuys CA 91411-2820 | |
| (310) 597-2081 | |
| Not Available |
| Full Name | Pacifica Brain Health Residency Program |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 14541 Delano St, Van Nuys, California |
| Authorized Official Name and Position | Ekram Yacoub (CEO) |
| Authorized Official Contact | 3105972081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacifica Brain Health Residency Program 18430 Brookhurst St Ste 202e Fountain Vly CA 92708-6762 Ph: (310) 597-2081 | Pacifica Brain Health Residency Program 14541 Delano St Van Nuys CA 91411-2820 Ph: (310) 597-2081 |
| NPI Number | 1801751615 |
|---|---|
| Provider Enumeration Date | 12/23/2025 |
| Last Update Date | 12/23/2025 |
| Certification Date | 12/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801751615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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