Braun, Jonathan

Braun, Jonathan is an individual health care provider with primary practice located at 10833 Le Conte Avenue , Los Angeles CA 90095-3075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Immunopathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Braun, Jonathan can be contacted via phone (310) 794-8285.

Contact Information

Primary practice address
10833 Le Conte Avenue Los Angeles CA 90095-3075
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G51811 California
Allopathic & Osteopathic Physicians / Immunopathology 207ZI0100X G51811 California

Profile Details

NPI number 1235167925
LBN Legal business name Braun, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jun 2nd, 2010 - about 14 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 1235167925 NPPES
California MEDICAID 00G518110

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