Healthcare Provider Details

I. General information

NPI: 1528573615
Provider Name (Legal Business Name): BRAINPOWER WELLNESS INSTITUTE NURSING CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2017
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 W CHAPMAN AVE STE 212
ORANGE CA
92868-2316
US

IV. Provider business mailing address

2230 W CHAPMAN AVE STE 212
ORANGE CA
92868-2316
US

V. Phone/Fax

Practice location:
  • Phone: 714-712-0711
  • Fax: 657-224-4781
Mailing address:
  • Phone: 714-712-0711
  • Fax: 657-224-4781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number20560
License Number StateCA

VIII. Authorized Official

Name: TAQIALDEEN ZAMIL
Title or Position: CEO
Credential: NP
Phone: 714-712-0711