Provider Demographics
NPI:1679083356
Name:L E BRAND, MD CORPORATION
Entity Type:Organization
Organization Name:L E BRAND, MD CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:BRAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-322-8490
Mailing Address - Street 1:5235 MISSION OAKS BLVD # 301
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-5400
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4542 LAS POSAS RD STE D
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-2521
Practice Address - Country:US
Practice Address - Phone:805-322-8490
Practice Address - Fax:805-586-8066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-06
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA126474208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1104178193OtherNPI