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

Brain Longevity Center

Organization Neurology Physician · NPI 1750503603

Brain Longevity Center is a Neurology Physician in Thousand Oaks, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

2100 Lynn Rd Ste 230
Thousand Oaks, CA 91360-8035
Phone: (805) 497-4500
Fax: (805) 495-1717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence G47623 (CA)

Record details

NPI number1750503603
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lorne Label — Medical Director · (805) 497-4500
NPI enumeratedMay 2, 2007
Last updated in NPPESJuly 25, 2007
Mailing address2100 Lynn Rd Ste 230, Thousand Oaks, CA 91360-8035

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