Brigham, Alfonso
Brigham, Alfonso is an individual health care provider with primary practice located at 11633 Hawthorne Blvd Suite 410, Hawthorne CA 90250-2321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brigham, Alfonso can be contacted via phone (310) 792-4450.Contact Information
Primary practice address
11633 Hawthorne Blvd Suite 410
Hawthorne CA 90250-2321
Phone: (310) 792-4450
Fax: (310) 792-4455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G48631 | California |
Profile Details
| NPI number | 1902858343 |
|---|---|
| LBN Legal business name | Brigham, Alfonso |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1902858343 | NPPES |
| California | MEDICAID | 00G486310 |
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