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Organization
MARK B. BRAUNSTEIN, MD INC
Active
Organization
MARK B. BRAUNSTEIN, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B BRAUNSTEIN MD (MD, PRESIDENT)
(818) 905-9598
Entity
Organization
Contact information
Practice address
4849 VAN NUYS BLVD, STE 105, SHERMAN OAKS, CA 91403-2110
(818) 905-9598
(818) 905-0130
Mailing address
4849 VAN NUYS BLVD, STE 105, SHERMAN OAKS, CA 91403-2110
(818) 905-9598
(818) 905-0130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G64033
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G64033
LICENSE
CA
Enumeration date
03/05/2013
Last updated
03/05/2013
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