Individual
DR. LEE RICHARD BRAUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18111 NORDHOFF ST, NORTHRIDGE, CA 91330-8270
(818) 677-3666
(818) 677-2304
Mailing address
18111 NORDHOFF ST, NORTHRIDGE, CA 91330-8270
(818) 677-3666
(818) 677-2304
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G29637
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EXE70150F
MEDI-CAL
CA
Enumeration date
10/03/2007
Last updated
10/03/2007
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