05D1046523 CLIA NUMBER - RENE H BRAVO, MD, INC

Laboratory Demographics

CLIA Number: 05D1046523

Facility Name: RENE H BRAVO, MD, INC

Facility Address:
3241 S HIGUERA
SAN LUIS OBISPO, CA
ZIP 93401
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Facility Phone Number: 805 544-4460

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255373965

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	05D1046523
LAB Type	Physician Office
Facility Name	RENE H BRAVO, MD, INC
Street	3241 S HIGUERA
City	SAN LUIS OBISPO
State	CA
ZIP	93401
Phone	805 544-4460
CertificateType	4
CertificateEffectiveDate	10/12/2023
CertificateExpirationDate	10/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024