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DR. JUDITH BRANDT D.O.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1750363966
Individual Registrant:DR. JUDITH BRANDT D.O.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
3070 CAMINO HEIGHTS DR SUITE B CAMINO, CA 95709-9508 US
Tel: 530-647-9762 Fax: 530-647-1961
Tel: 530-647-9762 Fax: 530-647-1961
Contact information for business:
3070 CAMINO HEIGHTS DR SUITE B CAMINO, CA 95709-9508 US
Tel: 530-647-9762 Fax: 530-647-1961
Tel: 530-647-9762 Fax: 530-647-1961
Registration Information:
NPI: 1750363966
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | CA | 20A6245 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RHM08909F | CA | 05 |
