Brand, Jonathan L

Brand, Jonathan L is an sole proprietor health care provider with primary practice located at 3630 E Imperial Hwy , Lynwood CA 90262-2609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Brand, Jonathan L can be contacted via phone (310) 900-8662.

Contact Information

Primary practice address
3630 E Imperial Hwy Lynwood CA 90262-2609
Fax: (424) 400-7749
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G50045 California

Profile Details

NPI number 1548259401
LBN Legal business name Brand, Jonathan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Dec 13th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548259401 NPPES
California Other 120523 LA CO MENTAL HEALTH
California MEDICAID 00G500451 LA CO MENTAL HEALTH

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