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Prabhtej Singh Brara, MD
Specialist in Santa Monica, California
NPI 1215917752

Prabhtej Singh Brara is a Specialist based in Santa Monica, CA. Prabhtej Singh Brara practices in Santa Monica, CA and has the professional credentials of MD. The NPI Number for Prabhtej Singh Brara is 1215917752 and holds a License No. A062470 (California).

The current practice location address for Prabhtej Singh Brara is 1301 20Th St Ste 590, Santa Monica, CA and can be reached out via phone at 310-315-0101 and via fax at 310-453-4145.

Location: 1301 20Th St Ste 590, Santa Monica, CA, 90404-2054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215917752
Provider Name
Prabhtej Singh Brara
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1301 20Th St Ste 590, Santa Monica, CA, 90404-2054
Phone Number
310-315-0101
Fax Number
310-453-4145
Provider Enumeration Date
01/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A624700 01 CA BC/BS
00A624700 05 CA
952976030 01 CA GROUP TAX ID
institution
Provider Business Practice Location Address Details
Address
1301 20Th St Ste 590
City
Santa Monica
State
California
Zip
90404-2054
Phone Number
310-315-0101
Fax Number
310-453-4145
person
Provider Business Mailing Address Details
Address
1301 20Th St Ste 590
City
Santa Monica
State
California
Zip
90404-2054
Phone Number
310-315-0101
Fax Number
310-453-4145
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A062470 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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