Individual
DR. BRUCE ALLEN BRAZINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
6699 ALVARADO RD, STE. 2201, SAN DIEGO, CA 92120-5253
(619) 583-8592
(619) 583-8170
Mailing address
6699 ALVARADO RD, STE. 2201, SAN DIEGO, CA 92120-5253
(619) 583-8592
(619) 583-8170
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E38701
—
CA
01
—
480025320
MEDICARE ID TYPE UNSPECIFIED
CA
Enumeration date
08/22/2007
Last updated
03/07/2023
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