Individual
DR. RODRIGO ANTONIO BRANT FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1450 SAN PABLO ST, LOS ANGELES, CA 90033-5331
(323) 442-6335
Mailing address
1450 SAN PABLO ST STE 4700, LOS ANGELES, CA 90033-5331
(323) 442-6412
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
SFP46
CA
390200000X
Student in an Organized Health Care Education/Training Program
SFP46
CA
Other
Enumeration date
08/23/2022
Last updated
01/25/2023
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