Erica Tiffany Bragg, is a
Student In An Organized Health Care Education/training Program based in Los Angeles, California. Erica Tiffany Bragg is licensed to practice in California (license number 6855) and her current practice location is
1720 E 120th St, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(310) 668-4272.
NPI number for Erica Tiffany Bragg is 1316579964 and her current mailing address is 199 W Trafford St, Long Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316579964.
Healthcare Provider's Profile
Full Name | Erica Tiffany Bragg |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1720 E 120th St, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316579964
- Provider Enumeration Date: 02/11/2020
- Last Update Date: 08/16/2022
Medical Identifiers
Medical identifiers for Erica Tiffany Bragg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316579964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 6855 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 6855 (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. Erica Tiffany Bragg 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 |
Erica Tiffany Bragg, 199 W Trafford St, Long Beach, CA 90805-2145 Ph: (562) 233-8715 | Erica Tiffany Bragg, 1720 E 120th St, Los Angeles, CA 90059-3052 Ph: (310) 668-4272 |
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