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Organization
KAIZEN BRAIN CENTER
Active
Organization
KAIZEN BRAIN CENTER
Active
Other names
Memory Concussion Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED MUZAMMIL AHMED M.D. (DIRECTOR)
(866) 277-2659
Entity
Organization
Contact information
Practice address
4510 EXECUTIVE DR, SUITE 107, SAN DIEGO, CA 92121-3021
(949) 295-6693
(858) 779-2511
Mailing address
9247 PIATTO LN, SAN DIEGO, CA 92108-4767
(949) 295-6693
(858) 779-2511
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
A124696
CA
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
A124696
CA
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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