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 is a Specialist 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
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

Other providers in Irvine