Laura Breckenridge in San Bruno - Sports Medicine
Laura Breckenridge - NPI 1013091594
Laura Breckenridge is a Sports Medicine in San Bruno, California. Laura Breckenridge practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Laura Breckenridge is 1013091594. The last update date is 2007-07-08.
Laura Breckenridge's current location address is 1001 Sneath Ln, San Bruno, California. You can contact this provider via phone number 6508734545 and fax number 6508734544. The mailing address for Laura Breckenridge is 1001 Sneath Ln, San Bruno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Breckenridge |
|---|---|
| Address | 1001 Sneath Ln, San Bruno, California |
| Phone Number | 6508734545 |
| Fax Number | 6508734544 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1013091594 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1001 Sneath Ln |
|---|---|
| City | San Bruno |
| State | California (CA) |
| Post Code | 940662308 |
| Phone Number | 6508734545 |
| Fax Number | 6508734544 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Rs0010X |
| Licence No | G64476 |
|
Definition: An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and exp |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G644760 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Laura Breckenridge by the Centers for Medicare & Medicaid Services (CMS)?
The Laura Breckenridge has been assigned the NPI (National Provider Identifier) 1013091594. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Laura Breckenridge?
The Laura Breckenridge is situated at 1001 Sneath Ln, in the city of San Bruno, state of CA, with the zip code 940662308.
What is Laura Breckenridge's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Laura Breckenridge is Sports Medicine, and the taxonomy code that classifies this field of practice is 207Rs0010X.
When was the Laura Breckenridge's 1013091594 issued?
The Laura Breckenridge's 1013091594 was issued on 2006-10-24.
As of what date were the details related to Laura Breckenridge most recently updated or revised?
The information pertaining to Laura Breckenridge, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.