MEDICARE: BROCA LIFE OPTIONS 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	103T00000X	Psychologist	3576	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	700885-000	OTHER	AZ	MAGELLAN
2	8951723	OTHER	AZ	CIGNA #
3	AZ0618080	OTHER	AZ	BCBSAZ
4	700885000	OTHER	AZ	MAGELLAN

General Provider Information

NPI Number	:	1710106489
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROCA LIFE OPTIONS LLC

Provider Business Mailing Address
First Line	:	3941 E CHANDLER BLVD
Second Line	:	STE. 106-158
City	:	PHOENIX
State	:	AZ
Zip	:	85048-0301
Country	:	US
Telephone Number	:	480-557-5710
Fax Number	:	480-557-5712

Provider Business Practice Location Address
First Line	:	1492 S MILL AVE
Second Line	:	STE. 114
City	:	TEMPE
State	:	AZ
Zip	:	85281-5652
Country	:	US
Telephone Number	:	480-557-5710
Fax Number	:	480-557-5712

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. L EMILY BROWN CABEZUDO
Credential	:	PHD
Telephone Number	:	480-557-5710

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	06/02/2010

Similar Medicare Providers

1801899448 — MS. PATRICIA GAIL ROMO CNM
Practice Location Address:

1492 S MILL AVE , SUITE 306
TEMPE, AZ
85281-5652

Practice Phone: 480-559-4776
Practice Fax: 480-907-1686

1073569182 — EAST VALLEY ORTHOPEDIC AND SPINE ASSOC
Practice Location Address:

1492 S MILL AVE , 1492 S MILL AVE #212
TEMPE, AZ
85281-5652

Practice Phone: 480-449-3867
Practice Fax: 480-449-3868

1538115662 — ENT SPECIALISTS OF ARIZONA, P.C.
Practice Location Address:

1492 S MILL AVE , STE. 301
TEMPE, AZ
85281-5652

Practice Phone: 480-894-5550
Practice Fax: 480-894-9469

1477591402 — WEIGHT LOSS INSTITUTE OF ARIZONA LLC
Practice Location Address:

1492 S MILL AVE , SUITE 201
TEMPE, AZ
85281-5652

Practice Phone: 480-829-6100
Practice Fax: 480-446-9475

1619031028 — SERGIO SZPAIZMAN MD
Practice Location Address:

1492 S MILL AVE , SUITE 312
TEMPE, AZ
85281-5652

Practice Phone: 602-243-7277
Practice Fax: 480-927-1092

1104045830 — BROCA HEALTH LLC
Practice Location Address:

1492 S MILL AVE , STE. 114
TEMPE, AZ
85281-5652

Practice Phone: 480-557-5710
Practice Fax: 480-557-5712

Directions to “BROCA LIFE OPTIONS LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.