Organization
SHERRY BRAHENY, M.D., A PROF. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRY LEE BRAHENY M.D. (PRESIDENT)
(619) 589-6106
Entity
Organization
Contact information
Practice address
8851 CENTER DR, SUITE 600, LA MESA, CA 91942-3017
(619) 589-6106
(619) 589-0785
Mailing address
8851 CENTER DR, SUITE 600, LA MESA, CA 91942-3017
(619) 589-6106
(619) 589-0785
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A30215
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A302152
—
CA
Enumeration date
08/27/2010
Last updated
08/27/2010
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