Organization
BRAIN ENHANCEMENT INSTITUTE
Active
Organization
BRAIN ENHANCEMENT INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN ORENSTEIN (OWNER, EXECUTIVE DIRECTOR)
(310) 305-1645
Entity
Organization
Contact information
Practice address
8055 W MANCHESTER AVE, STE 720, PLAYA DEL REY, CA 90293-7960
(310) 305-1654
(310) 496-2957
Mailing address
8055 W MANCHESTER AVE, STE 720, PLAYA DEL REY, CA 90293-7960
(310) 305-1654
(310) 496-2957
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
G67163
CA
106H00000X
Marriage & Family Therapist
18502
CA
208000000X
Pediatrics Physician
A72354
CA
235Z00000X
Speech-Language Pathologist
10919
CA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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