Individual
CHANEL BRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18700 VENTURA BLVD, TARZANA, CA 91356-6306
(747) 307-3323
Mailing address
18700 VENTURA BLVD, TARZANA, CA 91356-6306
(747) 307-3323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57761
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/19/2018
Last updated
12/20/2023
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