Bravo, Rene Henry

Bravo, Rene Henry is an individual health care provider with primary practice located at 620 California Blvd Suite J, San Luis Obispo CA 93401-2541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bravo, Rene Henry can be contacted via phone (805) 544-4460.

Contact Information

Primary practice address
620 California Blvd Suite J San Luis Obispo CA 93401-2541
Phone: (805) 544-4460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G52562 California

Profile Details

NPI number 1255373965
LBN Legal business name Bravo, Rene Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Jul 8th, 2007 - about 18 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 1255373965 NPPES
California Other G52562 MED LICENSE

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