Braskett, Melinda Jane
Braskett, Melinda Jane is an individual health care provider with primary practice located at 4650 W Sunset Blvd , Los Angeles CA 90027-6062. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Braskett, Melinda Jane can be contacted via phone (323) 361-2501.Contact Information
Primary practice address
4650 W Sunset Blvd
Los Angeles CA 90027-6062
Phone: (323) 361-2501
Fax: (323) 361-1191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A83104 | California |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | A83104 | California |
Profile Details
| NPI number | 1457313967 |
|---|---|
| LBN Legal business name | Braskett, Melinda Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | Aug 17th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457313967 | NPPES |
| Other | 00A831040 | BLUE SHIELD | |
| Other | A83104 | BLUE SHIELD | |
| MEDICAID | 00A831040 | BLUE SHIELD |
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