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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
1207RH0003XHematology & Oncology PhysicianA167183CA
2207R00000XInternal Medicine PhysicianA167183CA
3207RH0000XHematology (Internal Medicine) 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 : PO BOX 512185
Second Line :
City : LOS ANGELES
State : CA
Zip : 90051-0185
Country : US
Telephone Number : 800-826-4673
Fax Number :
Provider Business Practice Location Address
First Line : 1500 DUARTE RD
Second Line :
City : DUARTE
State : CA
Zip : 91010-3012
Country : US
Telephone Number : 800-826-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2018
Last Update Date : 06/03/2026

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