Pendergraft, Brandon S.

Pendergraft, Brandon S. is an individual health care provider with primary practice located at 915 W Imperial Hwy Ste 150, Brea CA 92821-3835. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Pendergraft, Brandon S. can be contacted via phone (800) 998-6329.

Contact Information

Primary practice address
915 W Imperial Hwy Ste 150 Brea CA 92821-3835
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 44890 California

Profile Details

NPI number 1508981127
LBN Legal business name Pendergraft, Brandon S.
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 9th, 2009 - about 17 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 1508981127 NPPES
California Other PEN1028 STAFF CODE

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