Brathwaite, Denise D.

Brathwaite, Denise D. is an sole proprietor health care provider with primary practice located at 1300 W 7Th St , San Pedro CA 90732-3505. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Brathwaite, Denise D. can be contacted via phone (310) 832-3311.

Contact Information

Primary practice address
1300 W 7Th St San Pedro CA 90732-3505
Phone: (310) 832-3311
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G58680 California
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X G58680 California
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X G58680 California

Profile Details

NPI number 1770524605
LBN Legal business name Brathwaite, Denise D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2006
Last updated Jun 2nd, 2015 - about 11 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 1770524605 NPPES
California Other 00G586800 BLUE SHIELD

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