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Organization

BRAIN INITIATIVE

Active
Parent organization
BRAIN INITIATIVE INC.
Other names
Brain Health Institute
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRAIN INITIATIVE INC.
Authorized official
DR. DEAN SHERZAI MD, PHD, MPH, MAS (DOCTOR)
(949) 383-6729
Entity
Organization

Contact information

Practice address
2501 N CATALINA AVE., UNITE 3418, REDONDO BEACH, CA 90277
(310) 710-2458
Mailing address
2501 N CATALINA AVE., UNITE 3418, REDONDO BEACH, CA 90277
(310) 710-2458

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
207LP2900X
Pain Medicine (Anesthesiology) Physician
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
2083S0010X
Sports Medicine (Preventive Medicine) Physician
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
2084P0805X
Geriatric Psychiatry Physician
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician

Other

Enumeration date
06/05/2023
Last updated
06/05/2023
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