Brakin, Mario Ignacio
Brakin, Mario Ignacio is an individual health care provider with primary practice located at 2650 Elm Ave Ste 318 , Long Beach CA 90806-1600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Endocrinology, which is considered as his primary health care specialty. Brakin, Mario Ignacio can be contacted via phone (562) 595-0166.Contact Information
Primary practice address
2650 Elm Ave Ste 318
Long Beach CA 90806-1600
Phone: (562) 595-0166
Fax: (562) 595-6714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Endocrinology | 2080P0205X | A-33396 | California |
Profile Details
| NPI number | 1215921028 |
|---|---|
| LBN Legal business name | Brakin, Mario Ignacio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Feb 20th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215921028 | NPPES |
| California | MEDICAID | 00A333960 | |
| California | MEDICAID | GR0100650 |
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