Nathaniel, Brandon Lee

Nathaniel, Brandon Lee is an individual health care provider with primary practice located at 26520 Cactus Ave , Moreno Valley CA 92555-3927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Nathaniel, Brandon Lee can be contacted via phone (951) 486-5700.

Contact Information

Primary practice address
26520 Cactus Ave Moreno Valley CA 92555-3927
Phone: (951) 486-5700
Fax: (951) 486-5705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A112673 California

Profile Details

NPI number 1851550834
LBN Legal business name Nathaniel, Brandon Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2008
Last updated Jun 19th, 2019 - about 5 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 1851550834 NPPES
California Other CA124033 PTAN

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