MEDICARE: CLEAR BRAIN CORP

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	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1447086814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR BRAIN CORP

Provider Business Mailing Address
First Line	:	11001 MAIN ST STE 268
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-2620
Country	:	US
Telephone Number	:	626-803-2982
Fax Number	:	626-270-4230

Provider Business Practice Location Address
First Line	:	11001 MAIN ST STE 268
Second Line	:
City	:	EL MONTE
State	:	CA
Zip	:	91731-2620
Country	:	US
Telephone Number	:	626-803-2982
Fax Number	:	626-270-4230

Authorized Official
Title or Position	:	MD/MEDICAL DIRECTOR
Name	:	LUCIEN ALEXANDRE
Credential	:	MD
Telephone Number	:	951-314-5521

Provider Enumeration Date	:	09/11/2024
Last Update Date	:	03/05/2026

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Directions to “CLEAR BRAIN CORP ” Practice Location

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