# BARRY M BRAIKER MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336335280
- **Authorized official:** BARRY M BRAIKER M.D. (DOCTOR)
- **Authorized official phone:** (310) 659-2915

## Contact information

- **Practice address:** 8670 WILSHIRE BLVD STE 206, BEVERLY HILLS, CA 90211-2930
- **Practice address phone:** (310) 659-2915
- **Practice address fax:** (310) 855-0753
- **Mailing address:** 8670 WILSHIRE BLVD STE 206, BEVERLY HILLS, CA 90211-2930
- **Mailing address phone:** (310) 659-2915
- **Mailing address fax:** (310) 855-0753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A22980 | CA | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 04/20/2008