Organization
BRAINHEALTH SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G BOTA MD (PRESIDENT)
(229) 815-0219
Entity
Organization
Contact information
Practice address
3151 AIRWAY AVE BLDG R, COSTA MESA, CA 92626-4607
(949) 288-5377
(774) 209-4466
Mailing address
30310 RANCHO VIEJO RD, SAN JUAN CAPISTRANO, CA 92675-1576
(949) 288-5377
(774) 209-4466
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
08/02/2022
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