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
Phone: (310) 794-8285
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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 15 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 | 1235167925 | NPPES |
California | MEDICAID | 00G518110 |
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