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NPI Code Detail

MEDICARE: DR. JUDITH BRANDT DO, FAAFP

MEDICARE:  DR. JUDITH  BRANDT  DO, FAAFP
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
1207Q00000XFamily Medicine Physician20A6245CA

Other Identifiers

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

General Provider Information

NPI Number : 1750363966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDITH BRANDT DO, FAAFP
Provider Business Mailing Address
First Line : 3070 CAMINO HEIGHTS DR
Second Line : SUITE B
City : CAMINO
State : CA
Zip : 95709-9508
Country : US
Telephone Number : 530-647-9762
Fax Number : 530-647-1961
Provider Business Practice Location Address
First Line : 3070 CAMINO HEIGHTS DR STE B
Second Line :
City : CAMINO
State : CA
Zip : 95709-9508
Country : US
Telephone Number : 530-651-2000
Fax Number : 530-647-1961
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 10/28/2022

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Directions to “ DR. JUDITH BRANDT DO, FAAFP” Practice Location

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