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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:

PrimaryCodeCategory/DescriptionStateLicense Number
N208000000XPhysicians
Pediatrics
CAA83104
Y207K00000XPhysicians
Allergy & Immunology
CAA83104

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSSA8310401
BLUE SHIELD00A83104001
00A831040CA05
Code values:
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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