Brautman, Lee Richard

Brautman, Lee Richard is an individual health care provider with primary practice located at 18111 Nordhoff St , Northridge CA 91330-8270. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Brautman, Lee Richard can be contacted via phone (818) 677-3666.

Contact Information

Primary practice address
18111 Nordhoff St Northridge CA 91330-8270
Phone: (818) 677-3666
Fax: (818) 677-2304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G29637 California

Profile Details

NPI number 1962699926
LBN Legal business name Brautman, Lee Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2007
Last updated Oct 3rd, 2007 - about 19 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 1962699926 NPPES
California Other EXE70150F MEDI-CAL

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