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NPI Code Detail

MEDICARE: HOLGER ERNST BRACHT D.O.

MEDICARE: HOLGER ERNST BRACHT D.O.
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
1207Q00000XFamily Medicine Physician20A6690CA

General Provider Information

NPI Number : 1063481976
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLGER ERNST BRACHT D.O.
Provider Business Mailing Address
First Line : 1818 VERDUGO BLVD STE 401
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1421
Country : US
Telephone Number : 818-790-1145
Fax Number :
Provider Business Practice Location Address
First Line : 1818 VERDUGO BLVD STE 401
Second Line :
City : GLENDALE
State : CA
Zip : 91208-1421
Country : US
Telephone Number : 818-790-1145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 05/26/2023

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Directions to “ HOLGER ERNST BRACHT D.O.” Practice Location

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