Braverman, Ira Richard

Braverman, Ira Richard is an individual health care provider with primary practice located at 610 Euclid Avenue Suite 201, National City CA 91950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Braverman, Ira Richard can be contacted via phone (619) 267-8181.

Contact Information

Primary practice address
610 Euclid Avenue Suite 201 National City CA 91950
Phone: (619) 267-8181
Fax: (619) 479-6750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X A37912 California

Profile Details

NPI number 1124039755
LBN Legal business name Braverman, Ira Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1124039755 NPPES
California MEDICAID 00A379120

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