Derald E Brackmann in Los Angeles - Otology & Neurotology
Derald E Brackmann - NPI 1508876699
Derald E Brackmann is a Otology & Neurotology in Los Angeles, California. Derald E Brackmann practices all healthcare services and medical treatments related to Otology & Neurotology. The NPI Number for Derald E Brackmann is 1508876699. The last update date is 2013-09-03.
Derald E Brackmann's current location address is 2100 W 3rd St Ste 111, Los Angeles, California. You can contact this provider via phone number 2134839930 and fax number 2134830905. The mailing address for Derald E Brackmann is 2100 W 3rd St Ste 111, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derald E Brackmann |
|---|---|
| Address | 2100 W 3rd St Ste 111, Los Angeles, California |
| Phone Number | 2134839930 |
| Fax Number | 2134830905 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508876699 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2013-09-03 |
Provider Mailing Address Detail
| Address | 2100 W 3rd St Ste 111 |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900571999 |
| Phone Number | 2134839930 |
| Fax Number | 2134830905 |
Provider's Primary Taxonomy Detail
| Speciality | Otology & Neurotology |
|---|---|
| Taxonomy | 207Yx0901X |
| Licence No | G11124 |
|
Definition: An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiolog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G111240 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Derald E Brackmann by the Centers for Medicare & Medicaid Services?
The Derald E Brackmann has been issued the NPI (National Provider Identifier) 1508876699 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Derald E Brackmann?
The Derald E Brackmann is situated at 2100 W 3Rd St Ste 111, in the city of Los Angeles, state of CA, with the zip code 900571999.
What is Derald E Brackmann's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Derald E Brackmann is Otology & Neurotology, and the taxonomy code that classifies this field of practice is 207Yx0901X.
When was the Derald E Brackmann's 1508876699 issued?
The Derald E Brackmann's 1508876699 was issued on 2006-08-09.
When was the information regarding Derald E Brackmann, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Derald E Brackmann, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-09-03.