Individual
DR. IRA RICHARD BRAVERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 EUCLID AVENUE, SUITE 201, NATIONAL CITY, CA 91950
(619) 267-8181
(619) 479-6750
Mailing address
610 EUCLID AVENUE, SUITE 201, NATIONAL CITY, CA 91950
(619) 267-8181
(619) 479-6750
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A37912
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A379120
—
CA
Enumeration date
08/10/2006
Last updated
07/08/2007
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