MEDICARE: DR. EDWARD AARON BRANTZ M.D.

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
1	207Q00000X	Family Medicine Physician	A31523	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1124096656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD AARON BRANTZ M.D.

Provider Business Mailing Address
First Line	:	1804 GARNET AVE
Second Line	:	#439
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-3352
Country	:	US
Telephone Number	:	858-273-6093
Fax Number	:

Provider Business Practice Location Address
First Line	:	3737 MORAGA AVE
Second Line	:	SUITE # B103 PERLMAN CLINIC DE ANZA VIEW MEDICAL CENTER
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-5404
Country	:	US
Telephone Number	:	858-273-6093
Fax Number	:	858-273-7755

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	12/11/2015

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1043299399 — DR. BRUCE R LASKER MD
Practice Location Address:

3737 MORAGA AVE , SUITE A-5
SAN DIEGO, CA
92117-5404

Practice Phone: 858-273-3300
Practice Fax: 858-273-5736

1407818743 — RAYMOND M VANCE M.D.
Practice Location Address:

3737 MORAGA AVE , SUITE A106
SAN DIEGO, CA
92117-5404

Practice Phone: 858-270-4420
Practice Fax: 858-270-8199

1528020864 — RICHARD GREENFIELD M.D.
Practice Location Address:

3737 MORAGA AVE , A106
SAN DIEGO, CA
92117-5404

Practice Phone: 858-270-4420
Practice Fax:

1205867066 — MR. DOUGLAS N CHRISTIANSEN DDS
Practice Location Address:

3737 MORAGA AVE , B-400
SAN DIEGO, CA
92117-5404

Practice Phone: 858-274-8900
Practice Fax: 858-274-8982

1003832577 — DR. STANLEY LAWRENCE BAQUIAL D.D.S.
Practice Location Address:

3737 MORAGA AVE , STE B309
SAN DIEGO, CA
92117-5404

Practice Phone: 858-581-3641
Practice Fax: 858-581-6135

Directions to “ DR. EDWARD AARON BRANTZ M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.