Dr. Mario Ignacio Brakin
Pediatric Endocrinologist
2650 Elm Ave Suite 210
Long Beach
, California 90806-1651
Dr. Mario Ignacio Brakin
Pediatric Endocrinologist
2650 Elm Ave Suite 210
Long Beach
, California 90806-1651
(562) 595-6714
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About
Features
Specialties
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Mario Ignacio Brakin
- 2650 Elm Ave Suite 210
- Long Beach, CA
- Zip : 90806-1651
- Fax : (562) 595-6714
- Phone : (562) 595-0166
Second Address
- Dr. Mario Ignacio Brakin
- 2650 Elm Ave Suite 210
- Long Beach, CA
- Zip : 90806-1651
- Fax : (562) 595-6714
- Phone : (562) 595-0166
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0205X | Pediatric Endocrinologist | A-33396 | CA |
National Provider Identifier
| NPI | 1215921028 |
|---|---|
| Provider Name | Dr. Mario Ignacio Brakin |
| First Address | Long Beach, CA 90806-1651 |
| Second Address | Long Beach, CA 90806-1651 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2005 |
| Last Update Date | 08/11/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A333960 | (05) | CA |
| A-27139 | (02) | CA |
| GR0100650 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.