Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | G42020 | CA |
NPI | 1336193432 |
---|---|
Provider Name | Todd E. Brandtman |
First Address | Oroville, CA 95966-0849 |
Second Address | Chico, CA 95973-7823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 28/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A48777 | (02) | CA |