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Organization

KAIZEN BRAIN CENTER

Active
Other names
Memory Concussion Center
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAMMED MUZAMMIL AHMED M.D. (DIRECTOR)
(866) 277-2659
Entity
Organization

Contact information

Practice address
4510 EXECUTIVE DR, SUITE 107, SAN DIEGO, CA 92121-3021
(949) 295-6693
(858) 779-2511
Mailing address
9247 PIATTO LN, SAN DIEGO, CA 92108-4767
(949) 295-6693
(858) 779-2511

Taxonomy

Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
A124696
CA
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
Primary
A124696
CA

Other

Enumeration date
12/30/2016
Last updated
12/30/2016
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