Look up the most recent NPI and PECOS records

Brainlab Medical

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

27509 Agoura Rd Ste 205, Agoura Hills, CA 91301-5149

PECOS Enrollment

Based on the most recent information from CMS, provider Brainlab Medical does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1023757275
Provider Type
Organization
Full Name
Brainlab Medical

Subpart
No
Enumeration Date
6/3/2022
Last Updated
9/13/2022

Contact Information

Practice Location

27509 Agoura Rd Ste 205, Agoura Hills, CA 91301-5149

(503) 791-3205

Unlisted Fax

Mailing Location

27489 Agoura Rd Ste 101, Agoura Hills, CA 91301-2481

Unlisted Phone

Unlisted Fax

Authorized Official

Malkin, Abraham (Provider)

(818) 839-7556

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 261Q00000X	Description Clinic/Center Ambulatory Health Care Facilities	License Unlisted Issuer

Brainlab Medical

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Najafian Jazi, Ali

Psychiatric Services Incorporated

Dias, Colin Porus

Samieh Askari Psychiatry & Neuropsychiatry P C

Mohammad, Akikur Reza

Raja, Rekha

Mac, Daljit

Psychiatric Wellness Center Inc

Cps Consultants Pc

Koek, Ralph Jan