Broughal, Gabriela

Broughal, Gabriela is an individual health care provider with primary practice located at 138 West Main Street Suite E,F,G, Ventura CA 93001-0000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Broughal, Gabriela can be contacted via phone (323) 646-2997.

Contact Information

Primary practice address
138 West Main Street Suite E,F,G Ventura CA 93001-0000
Phone: (323) 646-2997
Fax: (805) 667-2851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15282 California

Profile Details

NPI number 1457440869
LBN Legal business name Broughal, Gabriela
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Dec 22nd, 2011 - about 15 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 1457440869 NPPES
California MEDICAID RHM08609F
California MEDICAID RHM08608F
California MEDICAID RHM18553H
California MEDICAID ZZT40394F
California Other 95-1683892

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