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Organization

PACIFIC TRAUMA ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT DAVID BRICKER M.D. (CEO)
(310) 941-5059
Entity
Organization

Contact information

Practice address
11550 INDIAN HILLS RD STE 310, MISSION HILLS, CA 91345-1203
(818) 898-4900
(818) 898-4990
Mailing address
35 E GLENARM ST, PASADENA, CA 91105-3418
(626) 768-4415
(626) 403-0321

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
90638
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
90638
CA MED LICENSE
CA
Enumeration date
12/20/2016
Last updated
12/20/2016
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