Healthcare Provider Details
I. General information
NPI: 1174094064
Provider Name (Legal Business Name): PRECISION PSYCHIATRIC SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2018
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
455 SILICON VALLEY BLVD
SAN JOSE CA
95138-1858
US
IV. Provider business mailing address
7850 WHITE LN STE E301
BAKERSFIELD CA
93309-7698
US
V. Phone/Fax
- Phone: 669-900-1731
- Fax:
- Phone: 661-735-8860
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HARJIT
BRAR
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 916-899-6403