Provider Demographics
NPI:1386832335
Name:BRIANCURTIS MEDICAL INC
Entity Type:Organization
Organization Name:BRIANCURTIS MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE/CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:OCHOIFEOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-426-1222
Mailing Address - Street 1:4201 LONG BEACH BLVD STE 405
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2022
Mailing Address - Country:US
Mailing Address - Phone:562-426-1222
Mailing Address - Fax:562-426-2333
Practice Address - Street 1:4201 LONG BEACH BLVD STE 3405
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2007
Practice Address - Country:US
Practice Address - Phone:562-426-1222
Practice Address - Fax:562-426-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA499996101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty