Individual
EILEEN S BREYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
191 S BUENA VISTA ST, SUITE 100, BURBANK, CA 91505-4554
(818) 869-7600
(818) 433-3691
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5559
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G69655
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G696550
—
CA
Enumeration date
06/01/2005
Last updated
09/25/2014
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