Organization
TBI VIRTUAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMID DJALILIAN MD (CHIEF MEDICAL ADVISOR)
(866) 551-0080
Entity
Organization
Contact information
Practice address
3750 CONVOY ST STE 301, SAN DIEGO, CA 92111-3741
(866) 551-0080
Mailing address
3750 CONVOY ST STE 301, SAN DIEGO, CA 92111-3741
(866) 551-0080
Taxonomy
Speciality
Code
Description
License number
State
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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