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ARLENE BRAHAM MD
>> General Practice >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1447362462
Individual Registrant: ARLENE BRAHAM MD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
12021 JACARANDA AVE STE 101 HESPERIA, CA 92345-4978 US
Tel: 760-956-5174 Fax: 760-948-2179
Tel: 760-956-5174 Fax: 760-948-2179
Contact information for business:
12021 JACARANDA AVE STE 100 HESPERIA, CA 92345-4978 US
Tel: (76-0) -956-2636 Fax: --
Tel: (76-0) -956-2636 Fax: --
Registration Information:
NPI: 1447362462
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208D00000X | Allopathic & Osteopathic Physicians General Practice | CA | G66379 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00G663790 | CA | 05 | |
| RAILROAD MEDICARE | 080039888 | CA | 01 |
