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Organization
BRAIN PSYCHIATRY INC
Active
Organization
BRAIN PSYCHIATRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IJEOMA MBADUGHA NP (PRESIDENT/CEO)
(909) 500-2010
Entity
Organization
Contact information
Practice address
9431 HAVEN AVE STE 229, RANCHO CUCAMONGA, CA 91730-5848
(909) 500-2010
(800) 331-4078
Mailing address
9431 HAVEN AVE STE 229, RANCHO CUCAMONGA, CA 91730-5848
(909) 500-2010
(800) 331-4078
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
07/23/2026
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