MELINDA JANE BRASKETT M.D.
Allergy and Immunology
Los Angeles, California
Provider NPI: 1457313967
Provider Information:MELINDA JANE BRASKETT M.D.
Practice Location:
4650 W SUNSET BLVD LOS ANGELES, CA 90027 US
Tel: 323-361-2501 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 208000000X | Physicians Pediatrics | CA | A83104 |
Y | 207K00000X | Physicians Allergy & Immunology | CA | A83104 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS | A83104 | 01 | |
BLUE SHIELD | 00A831040 | 01 | |
00A831040 | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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