Individual
BRAYDEN RICHARD SKOUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11234 ANDERSON ST, PEDIATRICS, GENERAL, LOMA LINDA, CA 92354-2804
(909) 558-4174
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A23186
CA
Other
Enumeration date
03/31/2023
Last updated
01/08/2026
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