Brokaw, Andrea L
Brokaw, Andrea L is an individual health care provider with primary practice located at 26137 La Paz Rd Suite 230, Mission Viejo CA 92691-5319. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Brokaw, Andrea L can be contacted via phone (949) 595-8610.Contact Information
Primary practice address
26137 La Paz Rd Suite 230
Mission Viejo CA 92691-5319
Phone: (949) 595-8610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | California |
Profile Details
| NPI number | 1568714772 |
|---|---|
| LBN Legal business name | Brokaw, Andrea L |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2012 |
| Last updated | Sep 23rd, 2014 - about 11 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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