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CLAIRE BRAVO M.D. INC. NPI 1346764750


NPI Information

NPI: 1346764750
Provider Name: CLAIRE BRAVO, M.D., INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6310 SAN VICENTE BLVD STE 220
LOS ANGELES, CA
ZIP 90048
Phone: (310) 274-9988
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CLAIRE BRAVO, M.D., INC. is a specialist in Los Angeles, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CLAIRE BRAVO, M.D., INC. NPI is 1346764750. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

6310 SAN VICENTE BLVD STE 220
LOS ANGELES, CA
ZIP 90048-458
Phone: (310) 274-9988
Fax: (310) 274-0595

The provider's authorized official is Claire Bravo .
The authorized official title is President and has the following contact phone number (310) 274-9977.

The enumeration date for this NPI number is 7/27/2017 and was last updated on 11/6/2017.


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
1174400000XSpecialistA108032CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11477847309OTHERCALIFORNIATRICARE
21477847309OTHERCALIFORNIAANTHEM BLUE CROSS
31477847309OTHERCALIFORNIABLUE SHIELD OF CALIFORNIA
41477847309OTHERCALIFORNIAAETNA
51477847309OTHERCALIFORNIAUNITED HEALTH CARE
61477847309OTHERCALIFORNIACIGNA
71477847309OTHERCALIFORNIAHEALTH NET

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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