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BRAIN LONGEVITY CENTER
NPI 1750503603
Psychiatry & Neurology - Neurology in Thousand Oaks, CA

Active since May 02, 2007
2100 LYNN RD STE 230, THOUSAND OAKS, CA 91360(805) 497-4500(805) 495-1717 Get Directions Write a Review

NPPES record last updated: July 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brain Longevity Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRAIN LONGEVITY CENTER (NPI 1750503603) is a healthcare organization registered as a neurology in Thousand Oaks, California and active in the NPI registry since May 2007. The organization lists Lorne Sheldon Label, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1750503603
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameBRAIN LONGEVITY CENTER
Location Address2100 LYNN RD STE 230Thousand Oaks, CA 91360-8035
Mailing Address2100 Lynn Rd Ste 230Thousand Oaks, CA 91360-8035 · (805) 497-4500 · Fax (805) 495-1717
Phone(805) 497-4500
Fax(805) 495-1717
Organization SubpartNo
Authorized OfficialLorne Sheldon LabelMedical Director · (805) 497-4500
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 25, 2007
✔ NPI 1750503603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in CA · G47623
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2100 LYNN RD STE 230, Thousand Oaks, CA 91360
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Other Identifiers 4

Medicare ID-Type UnspecifiedG11983CA · Bresky
Medicare ID-Type UnspecifiedHG47623BCA · Label
Medicare UPINA92738CA
Medicare UPINA38504CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMAAD NASIR MD
Psychiatry & Neurology (Neurology)
2100 LYNN RD STE 230
THOUSAND OAKS, CA 91360
Ventura County (805) 497-4500
ANGELINE MAE JOCSON MD
Psychiatry & Neurology (Neurology)
2100 LYNN RD STE 230
THOUSAND OAKS, CA 91360
Ventura County (805) 497-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brain Longevity Center's NPI number?

The NPI number for Brain Longevity Center is 1750503603. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Brain Longevity Center located?

Brain Longevity Center is located at 2100 Lynn Rd Ste 230, Thousand Oaks, CA 91360. The listed phone number is (805) 497-4500.

What is Brain Longevity Center's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Brain Longevity Center was last updated on July 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.