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Individual

DR. MARIO IGNACIO BRAKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2650 ELM AVE STE 318, LONG BEACH, CA 90806-1600
(562) 595-0166
(562) 595-6714
Mailing address
2650 ELM AVE STE 318, LONG BEACH, CA 90806-1600
(562) 595-0166
(562) 595-6714

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
A-33396
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A333960
CA
05
GR0100650
CA
Enumeration date
09/07/2005
Last updated
02/20/2023
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