NPI Code Details Logo

NPI 1588544555

NPI 1588544555 : BE WELL BRAIN HEALTH : SAN DIEGO, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1588544555
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BE WELL BRAIN HEALTH 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/02/2025
-----------------------------------------------------
    Last Update Date     |    09/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2869 HISTORIC DECATUR RD 
-----------------------------------------------------
    City                 |    SAN DIEGO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92106-6176
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    858-291-0036
-----------------------------------------------------
    Fax                  |    858-724-3655
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2869 HISTORIC DECATUR RD 
-----------------------------------------------------
    City                 |    SAN DIEGO
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92106-6176
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    858-291-0036
-----------------------------------------------------
    Fax                  |    858-724-3655
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER, CEO
-----------------------------------------------------
    Name                 |    MS. CHRISTINA M CHOPIN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    858-291-0036
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084B0040X
-----------------------------------------------------
    Taxonomy Name        |    Behavioral Neurology & Neuropsychiatry Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.