Individual
JONATHAN BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVENUE, LOS ANGELES, CA 90095-3075
(310) 794-8285
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 794-8285
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
G51811
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G51811
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G518110
—
CA
Enumeration date
06/29/2006
Last updated
06/02/2010
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