Ishmael Angelo Bracy, is a
Counselor - Mental Health based in Los Angeles, California. Ishmael Angelo Bracy is licensed to practice in California (license number 92443) and his current practice location is
3600 Wilshire Blvd Ste 2200, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(213) 382-4400.
NPI number for Ishmael Angelo Bracy is 1639815087 and his current mailing address is 447 N El Molino Ave, Pasadena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639815087.
Healthcare Provider's Profile
Full Name | Ishmael Angelo Bracy |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 3600 Wilshire Blvd Ste 2200, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639815087
- Provider Enumeration Date: 05/09/2022
- Last Update Date: 06/21/2023
Medical Identifiers
Medical identifiers for Ishmael Angelo Bracy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639815087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 92443 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ishmael Angelo Bracy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ishmael Angelo Bracy, 447 N El Molino Ave, Pasadena, CA 91101-1403 Ph: () - | Ishmael Angelo Bracy, 3600 Wilshire Blvd Ste 2200, Los Angeles, CA 90010-2632 Ph: (213) 382-4400 |
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