Breyde, Eileen S
Breyde, Eileen S is an sole proprietor health care provider with primary practice located at 191 S Buena Vista St Suite 100, Burbank CA 91505-4554. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Breyde, Eileen S can be contacted via phone (818) 869-7600.Contact Information
Primary practice address
191 S Buena Vista St Suite 100
Burbank CA 91505-4554
Phone: (818) 869-7600
Fax: (818) 433-3691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | G69655 | California |
Profile Details
| NPI number | 1770585887 |
|---|---|
| LBN Legal business name | Breyde, Eileen S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Sep 25th, 2014 - about 10 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 | 1770585887 | NPPES |
| California | MEDICAID | 00G696550 |
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