Organization
BRAINIAC MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAQIALDEEN ZAMIL NP (CFO)
(951) 382-6161
Entity
Organization
Contact information
Practice address
1007 E COOLEY DR STE 111, COLTON, CA 92324-3901
(909) 429-3244
(909) 981-0821
Mailing address
PO BOX 6080, ANAHEIM, CA 92816-0080
(951) 382-6161
(951) 666-3501
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
207Q00000X
Family Medicine Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/14/2023
Last updated
10/24/2025
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