Provider Demographics
NPI:1962455865
Name:WESTERBAND, BRIGELI PAHED (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIGELI
Middle Name:PAHED
Last Name:WESTERBAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60039
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91066-6039
Mailing Address - Country:US
Mailing Address - Phone:626-447-0296
Mailing Address - Fax:626-447-6057
Practice Address - Street 1:32720 BARRETT DR
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-5527
Practice Address - Country:US
Practice Address - Phone:818-865-8582
Practice Address - Fax:818-865-8415
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2008-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA44057207PE0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A440570Medicaid
CA00A440570Medicaid
CAWA44057PMedicare PIN