OrganizationActive
Healthy Mind & Brain Center Licensed Clinical Social Worker In.
NPI 1255967063 · Neuropathology Physician · Apple Valley, CA
Provider details
- NPI number
- 1255967063
- Entity type
- Organization
- Primary specialty
- Neuropathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Regina Peacock, Ceo(909) 831-0446
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
16195 Siskiyou Rd Ste 120b
Apple Valley, CA 92307-1346
Phone: (190) 983-1044
Approximate (ZIP-level) locationGet directions
Mailing address
5822 Olive Ave
Rialto, CA 92377-3964
Other names (DBA / former)
- Former legal business name
- Brain Core
- Doing business as
- Healthy Mind & Brain Center
Registry dates
- Enumerated
- 2020-03-13
- Last updated
- 2022-02-16
- Certified
- 2022-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.