Individual
DR. JOHN BERNARD BRAUNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 E HARDY ST, CENTINELA HOSPITAL MEDICAL CENTER, INGLEWOOD, CA 90301-4011
(818) 409-8000
Mailing address
PO BOX 5686, ORANGE, CA 92863-5686
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G58594
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G585940
BLUE SHIELD
CA
05
—
1689615437
—
CA
01
—
P01086188
RAILROAD MEDICARE
CA
Enumeration date
06/10/2006
Last updated
01/29/2016
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