MEDICARE: FIATM INDUSTRIES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1265365969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIATM INDUSTRIES LLC

Provider Business Mailing Address
First Line	:	25920 IRIS AVE STE 13A
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92551-1658
Country	:	US
Telephone Number	:	951-988-3389
Fax Number	:

Provider Business Practice Location Address
First Line	:	2192 GALLERIA AT TYLER
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92503-4146
Country	:	US
Telephone Number	:	951-988-3389
Fax Number	:

Authorized Official
Title or Position	:	OWNER / CEO
Name	:	YAKUBA BROWN
Credential	:
Telephone Number	:	951-478-7178

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “FIATM INDUSTRIES LLC ” Practice Location

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