Individual
MR. CALEB THOMAS BRACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1300 N LA BREA AVE, LOS ANGELES, CA 90028-7504
(323) 464-1336
(323) 464-2163
Mailing address
1300 N LA BREA AVE, LOS ANGELES, CA 90028-7504
(323) 464-1336
(323) 464-2163
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
24889
TN
363LF0000X
Family Nurse Practitioner
F345890
NY
363LF0000X
Family Nurse Practitioner
Primary
NP95019522
CA
Other
Enumeration date
10/08/2018
Last updated
03/10/2026
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