Brett, Joey

Brett, Joey is an individual health care provider with primary practice located at 13320 Riverside Dr Suite 104, Sherman Oaks CA 91423-2502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brett, Joey can be contacted via phone (818) 789-0034.

Contact Information

Primary practice address
13320 Riverside Dr Suite 104 Sherman Oaks CA 91423-2502
Phone: (818) 789-0034
Fax: (818) 789-0042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A055102 California

Profile Details

NPI number 1831199017
LBN Legal business name Brett, Joey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Feb 28th, 2008 - about 16 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 1831199017 NPPES
California Other 00A551020 MEDI-CAL RENDERING NUMBER
California Other WA55102C MEDI-CAL RENDERING NUMBER

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