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NPI Code Detail

MEDICARE: PAUL K BRONSTON MD

MEDICARE: PAUL K BRONSTON 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
1207P00000XEmergency Medicine PhysicianA41120CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200A411200OTHERCABLUE SHIELD

General Provider Information

NPI Number : 1912948472
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL K BRONSTON MD
Provider Business Mailing Address
First Line : PO BOX 4419
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91365-4419
Country : US
Telephone Number : 800-358-9787
Fax Number : 818-587-2493
Provider Business Practice Location Address
First Line : 2070 CENTURY PARK E
Second Line :
City : LOS ANGELES
State : CA
Zip : 90067-1907
Country : US
Telephone Number : 310-772-4100
Fax Number : 818-587-2493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/08/2007

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Directions to “ PAUL K BRONSTON MD” Practice Location

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