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NPI Code Detail

MEDICARE: ADAM PHILLIP GORDON BRAUN MD

MEDICARE:   ADAM PHILLIP GORDON BRAUN  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
1207R00000XInternal Medicine PhysicianA167183CA
2207RH0003XHematology & Oncology PhysicianA167183CA

General Provider Information

NPI Number : 1356831317
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM PHILLIP GORDON BRAUN MD
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number : 310-301-5200
Fax Number :
Provider Business Practice Location Address
First Line : 19950 RINALDI ST STE 310
Second Line :
City : PORTER RANCH
State : CA
Zip : 91326-4254
Country : US
Telephone Number : 818-271-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2018
Last Update Date : 07/14/2025

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Directions to “ ADAM PHILLIP GORDON BRAUN MD” Practice Location

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