Individual
JARED BREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 540-7676
Mailing address
4750 LINCOLN BLVD # 1-131, MARINA DEL REY, CA 90292-6900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
136459
CA
Other
Enumeration date
07/18/2013
Last updated
04/13/2018
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