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Organization

SMART BRAIN AND HEALTH INC

Active
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Organization

SMART BRAIN AND HEALTH INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRADLEY ALEXANDER JABOUR MD (CEO)
(310) 829-9788
Entity
Organization

Contact information

Practice address
2811 WILSHIRE BLVD, SUITE 660, SANTA MONICA, CA 90403-4803
(310) 829-9788
(310) 453-1576
Mailing address
2811 WILSHIRE BLVD, SUITE 660, SANTA MONICA, CA 90403-4803
(310) 829-9788
(310) 453-1576

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
AG7078214
CA

Other

Enumeration date
06/23/2010
Last updated
06/23/2010
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