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Organization

BRAIN ENHANCEMENT INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY EGAN M.D. (DIRECTOR)
(626) 797-9977
Entity
Organization

Contact information

Practice address
8055 W MANCHESTER AVE STE 720, PLAYA DEL REY, CA 90293-7202
(626) 797-9977
(626) 844-2977
Mailing address
8055 W MANCHESTER AVE STE 720, PLAYA DEL REY, CA 90293-7202
(626) 797-9977
(626) 844-2977

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
G67163
CA

Other

Enumeration date
03/15/2012
Last updated
03/15/2012
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