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NPI Code Detail

MEDICARE: BIRINDER S BRARA MD

MEDICARE:   BIRINDER S BRARA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianA34017CA
2207Q00000XFamily Medicine PhysicianA34017CA
3208600000XSurgery PhysicianA34017CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2930129075OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215957451
Entity Type Code : Individual
Provider Name (Legal Business Name) : BIRINDER S BRARA MD
Provider Business Mailing Address
First Line : 3816 WOODRUFF AVE STE 205
Second Line :
City : LONG BEACH
State : CA
Zip : 90808-2145
Country : US
Telephone Number : 562-421-7292
Fax Number : 562-429-0814
Provider Business Practice Location Address
First Line : 3816 WOODRUFF AVE STE 205
Second Line :
City : LONG BEACH
State : CA
Zip : 90808-2145
Country : US
Telephone Number : 562-421-7292
Fax Number : 562-429-0814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 06/11/2010

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Directions to “ BIRINDER S BRARA MD” Practice Location

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