BRAIN RECONNECTIOM
NPI 1093104275
Specialist in Irvine, CA

Active since January 12, 2015
1929 MAIN ST STE 103, IRVINE, CA 92614(949) 307-6914 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About BRAIN RECONNECTIOM

This page provides the complete NPI Profile along with additional information for Brain Reconnectiom, a provider established in Irvine, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1093104275 assigned on January 2015. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Hela Kammoun Mnri Core Specialist (General Officer)

NPI
1093104275 Verify this NPI
Provider Name
BRAIN RECONNECTIOM
Entity Type
Organization
Location Address
1929 MAIN ST STE 103 IRVINE, CA 92614
Location Phone
(949) 307-6914
Mailing Address
14271 JEFFREY RD IRVINE, CA 92620
Mailing Phone
(909) 307-6914
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-12-2015
Last Update Date
01-12-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HELA KAMMOUN MNRI CORE SPECIALIST

Authorized Official Title
GENERAL OFFICER
Authorized Official Phone
(949) 307-6914

Reviews for BRAIN RECONNECTIOM

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Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Speech-Language Pathologist
1929 MAIN ST STE 103
IRVINE, CA 92614
Occupational Therapist (Pediatrics)
1929 MAIN ST STE 103
IRVINE, CA 92614
Physical Therapist (Pediatrics)
1929 MAIN ST STE 103
IRVINE, CA 92614
Physical Therapist
1929 MAIN ST STE 103
IRVINE, CA 92614
Specialist
1929 MAIN ST STE 103
IRVINE, CA 92614
Massage Therapist
1929 MAIN ST STE 103
IRVINE, CA 92614
Specialist
1929 MAIN ST STE 103
IRVINE, CA 92614
Specialist
1929 MAIN ST STE 103
IRVINE, CA 92614
Occupational Therapist (Pediatrics)
1929 MAIN ST STE 103
IRVINE, CA 92614
Speech-Language Pathologist
1929 MAIN ST STE 103
IRVINE, CA 92614
Clinic/Center (Hearing and Speech)
1929 MAIN ST STE 103
IRVINE, CA 92614
Massage Therapist
1929 MAIN ST STE 103
IRVINE, CA 92614
Music Therapist
1929 MAIN ST STE 103
IRVINE, CA 92614

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093104275, enumerated as an "organization" on January 12, 2015.

The provider is located at 1929 MAIN ST STE 103 IRVINE, CA 92614 and the phone number is (949) 307-6914.

Specialist with taxonomy code 174400000X.