Memory Spa, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

MEMORY SPA, LLC

Practice address

1950 Sunny Crest Dr Ste 1400
Fullerton, CA 92835-3642

Phone

(714) 706-4253

NPI assigned

Jan 6, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bryan D. Reamer-Yu, MBA

Title

Executive Director

Phone

(714) 706-4253

Specialties & licenses 1

Addresses

Other names 1

• The Memory Spa Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1356980494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SUNNY CREST DR STE 1400",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353642",
            "telephone_number": "714-706-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SUNNY CREST DR STE 1400",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353642",
            "telephone_number": "714-706-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORY SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "REAMER-YU",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-706-4253",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Memory Spa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Raquel Melendrez
• Josseline J Melgar
• Emma Christine Melo, LMFT
• Georgina Marie Melvin
• Martha Membreno
• Lawrence Men
• Emily Jacobs Menaker, MSOTR/L
• Ike Mendez-Mazariegos
• Capri Mendez
• Jason D Mendez

• Alzheimer Center (Dementia Center) in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.