Healthcare Provider Details

I. General information

NPI: 1336205046
Provider Name (Legal Business Name): MR. AARON LOWELL BRINK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 TAMARACK AVE #4805
BREA CA
92821-3202
US

IV. Provider business mailing address

650 TAMARACK AVE., #4805
BREA CA
92821
US

V. Phone/Fax

Practice location:
  • Phone: 714-966-9999
  • Fax: 714-966-9996
Mailing address:
  • Phone: 714-966-9999
  • Fax: 714-966-9996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: