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Organization
MATTHEW BRAL DO A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
MATTHEW BRAL DO A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BRAL DO (SOLE OWNER)
(818) 383-8683
Entity
Organization
Contact information
Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-8500
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CB317291
—
CA
Enumeration date
12/10/2018
Last updated
05/28/2019
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