Provider Demographics
NPI:1730144825
Name:BRAUN, CHRISTOPHER C (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:C
Last Name:BRAUN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1180 S BEVERLY DR
Mailing Address - Street 2:SUITE 410
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-1153
Mailing Address - Country:US
Mailing Address - Phone:310-277-3293
Mailing Address - Fax:310-277-0110
Practice Address - Street 1:1180 S BEVERLY DR
Practice Address - Street 2:SUITE 410
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-1153
Practice Address - Country:US
Practice Address - Phone:310-277-3293
Practice Address - Fax:310-277-0110
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-20
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28209111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC28209Medicare ID - Type Unspecified