Brazina, Gary
Brazina, Gary is an sole proprietor health care provider with primary practice located at 13160 Mindanao Way Ste 300, Marina Del Rey CA 90292-6358. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Brazina, Gary can be contacted via phone (310) 821-2222.Contact Information
Primary practice address
13160 Mindanao Way Ste 300
Marina Del Rey CA 90292-6358
Phone: (310) 821-2222
Fax: (310) 823-5871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G37830 | California |
Profile Details
| NPI number | 1376655142 |
|---|---|
| LBN Legal business name | Brazina, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376655142 | NPPES |
| California | Other | G37830 | MEDICAL LICENSE |
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