Provider Demographics
NPI:1508138538
Name:BRINING, LUCIE P (MD)
Entity Type:Individual
Prefix:
First Name:LUCIE
Middle Name:P
Last Name:BRINING
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5767 W CENTURY BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2501 N SEPULVEDA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:MANHATTAN BEACH
Practice Address - State:CA
Practice Address - Zip Code:90266-2722
Practice Address - Country:US
Practice Address - Phone:310-546-4599
Practice Address - Fax:310-796-4941
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2020-01-07
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Provider Licenses
StateLicense IDTaxonomies
CAA121956207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA113893OtherSID # 113893