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JACQUELINE BRACY M.D. INC. NPI 1043590912


NPI Information

NPI: 1043590912
Provider Name: JACQUELINE BRACY, M.D., INC.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
412 W CARROLL AVE
SUITE 107
GLENDORA, CA
ZIP 91741
Phone: (626) 852-0411
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JACQUELINE BRACY, M.D., INC. is an obstetrics gynecology in Glendora, CA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. JACQUELINE BRACY, M.D., INC. NPI is 1043590912. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

412 W CARROLL AVE
SUITE 107
GLENDORA, CA
ZIP 91741-240
Phone: (626) 852-0411
Fax: (626) 852-0407

The provider's authorized official is Jacqueline Bracy .
The authorized official title is President and has the following contact phone number (626) 852-0411.

The enumeration date for this NPI number is 8/24/2011 and was last updated on 8/24/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyC043356CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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