Broughal, Gabriela
Broughal, Gabriela is an individual health care provider with primary practice located at 138 West Main Street Suite E,F,G, Ventura CA 93001-0000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Broughal, Gabriela can be contacted via phone (323) 646-2997.Contact Information
Primary practice address
138 West Main Street Suite E,F,G
Ventura CA 93001-0000
Phone: (323) 646-2997
Fax: (805) 667-2851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 15282 | California |
Profile Details
| NPI number | 1457440869 |
|---|---|
| LBN Legal business name | Broughal, Gabriela |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Dec 22nd, 2011 - about 14 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 | 1457440869 | NPPES |
| California | MEDICAID | RHM08609F | |
| California | MEDICAID | RHM08608F | |
| California | MEDICAID | RHM18553H | |
| California | MEDICAID | ZZT40394F | |
| California | Other | 95-1683892 |
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