Brault, Andrea Margarette

Brault, Andrea Margarette is an individual health care provider with primary practice located at 3828 Delmas Ter , Culver City CA 90232-2713. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Brault, Andrea Margarette can be contacted via phone (310) 202-4745.

Contact Information

Primary practice address
3828 Delmas Ter Culver City CA 90232-2713
Phone: (310) 202-4745
Fax: (310) 202-4168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G73405 California

Profile Details

NPI number 1811931306
LBN Legal business name Brault, Andrea Margarette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Aug 31st, 2012 - about 12 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 1811931306 NPPES
California Other G73405 MEDICAL LICENSE
California MEDICAID 00G734050 MEDICAL LICENSE

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