Provider Demographics
NPI:1568512382
Name:BRAHME, JOHAN ERIK (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHAN
Middle Name:ERIK
Last Name:BRAHME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9850 GENESEE AVE
Mailing Address - Street 2:SUITE #130
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1206
Mailing Address - Country:US
Mailing Address - Phone:858-452-1981
Mailing Address - Fax:858-452-9910
Practice Address - Street 1:9850 GENESEE AVE
Practice Address - Street 2:SUITE #130
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1206
Practice Address - Country:US
Practice Address - Phone:858-452-1981
Practice Address - Fax:858-452-9910
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG49912208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery