Organization
NEUROSPA BRAIN REJUVENATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI ELAHI MD (CEO/PRESIDENT)
(949) 705-9964
Entity
Organization
Contact information
Practice address
2121 E COAST HWY STE 260, CORONA DEL MAR, CA 92625-1932
(949) 652-7301
(949) 652-7301
Mailing address
2121 E COAST HWY STE 260, CORONA DEL MAR, CA 92625-1932
(949) 652-7301
(949) 652-7301
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
10/08/2018
Last updated
02/08/2021
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