Dr Mario Ignacio Brakin, MD | |
2650 Elm Ave Ste 318, Long Beach, CA 90806-1600 | |
(562) 595-0166 | |
(562) 595-6714 |
Full Name | Dr Mario Ignacio Brakin |
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Gender | Male |
Speciality | Pediatrics - Pediatric Endocrinology |
Location | 2650 Elm Ave Ste 318, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215921028 | NPI | - | NPPES |
00A333960 | Medicaid | CA | |
GR0100650 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0205X | Pediatrics - Pediatric Endocrinology | A-33396 (California) | Primary |
Entity Name | Mario I Brakin M D F A A P Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164442620 PECOS PAC ID: 8820019144 Enrollment ID: O20051214000931 |
Mailing Address | Practice Location Address |
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Dr Mario Ignacio Brakin, MD 2650 Elm Ave Ste 318, Long Beach, CA 90806-1600 Ph: (562) 595-0166 | Dr Mario Ignacio Brakin, MD 2650 Elm Ave Ste 318, Long Beach, CA 90806-1600 Ph: (562) 595-0166 |
Dr. David C Kim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 562-933-8100 | |
Sunita Ravinder Idnani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1703 Termino Ave, Suite 206, Long Beach, CA 90804 Phone: 562-961-0210 Fax: 562-961-0212 | |
Barry Arthur Steinmetz, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1760 Termino Ave, Suite 301, Long Beach, CA 90804 Phone: 562-933-3009 Fax: 562-933-8557 | |
Glenn Levine, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2801 Atlantic Ave, 3rd Floor, Long Beach, CA 90806 Phone: 562-933-8743 Fax: 562-933-8014 | |
Lorna Mcfarland, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3833 Worsham Ave # 301, Long Beach, CA 90808 Phone: 562-595-5479 Fax: 562-988-7616 | |
Tara Sutherland, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2650 Elm Ave Ste 301, Long Beach, CA 90806 Phone: 562-728-5034 | |
Richard Eric Swensson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 562-933-3350 Fax: 562-933-3359 |