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NPI Code Detail

MEDICARE: MS. REBECCA MARIE BRETON MD

MEDICARE: MS. REBECCA MARIE BRETON 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
1208000000XPediatrics PhysicianG76630CA

General Provider Information

NPI Number : 1659367548
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA MARIE BRETON MD
Provider Business Mailing Address
First Line : 125 WATER ST STE A2
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-2786
Country : US
Telephone Number : 831-427-3500
Fax Number : 831-427-7785
Provider Business Practice Location Address
First Line : 1510 CAPITOLA RD
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-2912
Country : US
Telephone Number : 831-427-3500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 12/07/2022

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