# KAIZEN BRAIN CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Memory Concussion Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891230868
- **Authorized official:** MOHAMMED MUZAMMIL AHMED M.D. (DIRECTOR)
- **Authorized official phone:** (866) 277-2659

## Contact information

- **Practice address:** 4510 EXECUTIVE DR, SUITE 107, SAN DIEGO, CA 92121-3021
- **Practice address phone:** (949) 295-6693
- **Practice address fax:** (858) 779-2511
- **Mailing address:** 9247 PIATTO LN, SAN DIEGO, CA 92108-4767
- **Mailing address phone:** (949) 295-6693
- **Mailing address fax:** (858) 779-2511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | A124696 | CA | — |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | A124696 | CA | Yes |

## Other

- **Enumeration date:** 12/30/2016
- **Last updated:** 12/30/2016