Breyde, Eileen S

Breyde, Eileen S is an sole proprietor health care provider with primary practice located at 191 S Buena Vista St Suite 100, Burbank CA 91505-4554. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Breyde, Eileen S can be contacted via phone (818) 869-7600.

Contact Information

Primary practice address
191 S Buena Vista St Suite 100 Burbank CA 91505-4554
Phone: (818) 869-7600
Fax: (818) 433-3691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X G69655 California

Profile Details

NPI number 1770585887
LBN Legal business name Breyde, Eileen S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Sep 25th, 2014 - about 12 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 1770585887 NPPES
California MEDICAID 00G696550

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