NPI | 1326792128 |
---|---|
Doing Business As | BRAINCARE PERFORMANCE CENTER CARLSBAD |
Entity Type | Organization |
Authorized Contact | OLUSEYI AWODELE Physician 760-452-6387 |
Organization Subpart ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine |
Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
2084P0301X Psychiatry & Neurology, Brain Injury Medicine | |
208D00000X General Practice | |
261Q00000X Clinic/Center | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QX0100X Clinic/Center, Occupational Medicine | |
Enumeration Date | 2022-02-09 |
Last Update Date | 2022-08-23 |