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:
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Health care specialties

SpecialtyCodeLicense #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 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215921028 NPPES
California MEDICAID 00A333960
California MEDICAID GR0100650

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