Individual
ARLENE BRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12021 JACARANDA AVE STE 101, HESPERIA, CA 92345-4978
(760) 956-5174
(760) 948-2179
Mailing address
12021 JACARANDA AVE STE 100, HESPERIA, CA 92345-4978
(760) 956-2636
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G66379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G663790
—
CA
01
—
080039888
RAILROAD MEDICARE
CA
Enumeration date
08/31/2006
Last updated
07/21/2022
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