Shaham, Bracha

Shaham, Bracha is an individual health care provider with primary practice located at 4650 W Sunset Blvd Ms# 60, Los Angeles CA 90027-6062. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rheumatology, which is considered as her primary health care specialty. Shaham, Bracha can be contacted via phone (323) 669-2119.

Contact Information

Primary practice address
4650 W Sunset Blvd Ms# 60 Los Angeles CA 90027-6062
Phone: (323) 669-2119
Fax: (323) 663-9694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X A37643 California

Profile Details

NPI number 1184710097
LBN Legal business name Shaham, Bracha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 18 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 1184710097 NPPES
California MEDICAID 00A376430

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