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NPI Code Detail

MEDICARE: RUBEN R BRECHNER M.D.

MEDICARE:   RUBEN R BRECHNER  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
12085R0204XVascular & Interventional Radiology PhysicianA51022CA
22085P0229XPediatric Radiology PhysicianA51022CA
32085U0001XDiagnostic Ultrasound PhysicianA51022CA
42085N0904XNuclear Radiology PhysicianA51022CA
52085B0100XBody Imaging PhysicianA51022CA
62085R0202XDiagnostic Radiology PhysicianA51022CA
72085N0700XNeuroradiology PhysicianA51022CA

General Provider Information

NPI Number : 1689610057
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBEN R BRECHNER M.D.
Provider Business Mailing Address
First Line : 1720 E CESAR E CHAVEZ AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-2414
Country : US
Telephone Number : 626-795-1610
Fax Number : 626-795-0751
Provider Business Practice Location Address
First Line : 1720 E CESAR E CHAVEZ AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-2414
Country : US
Telephone Number : 626-795-1610
Fax Number : 626-795-0751
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 05/18/2026

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