Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brain Reconnectiom

Organization Specialist · NPI 1093104275

Brain Reconnectiom provides Specialist services in Irvine, California. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

1929 Main St Ste 103
Irvine, CA 92614-6524 Not confirmed with CMS for 11 years — call before visiting
Phone: (949) 307-6914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1093104275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hela Kammoun — General Officer · (949) 307-6914
NPI enumeratedJanuary 12, 2015
Last updated in NPPESJanuary 12, 2015
Mailing address14271 Jeffrey Rd, Irvine, CA 92620-3405

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