MEDICARE: NORA BRANNING P.A.

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	363A00000X	Physician Assistant	PA21558	CA

General Provider Information

NPI Number	:	1538453725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORA BRANNING P.A.

Provider Business Mailing Address
First Line	:	1817 HUNTINGTON LN # A
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-4115
Country	:	US
Telephone Number	:	310-283-4965
Fax Number	:

Provider Business Practice Location Address
First Line	:	1817 HUNTINGTON LN # A
Second Line	:
City	:	REDONDO BEACH
State	:	CA
Zip	:	90278-4115
Country	:	US
Telephone Number	:	310-283-4965
Fax Number	:

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

Provider Enumeration Date	:	06/05/2011
Last Update Date	:	06/05/2011

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Directions to “ NORA BRANNING P.A.” Practice Location

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