Provider Demographics
NPI:1013982602
Name:BRAR, PAMILA K (MD)
Entity type:Individual
Prefix:DR
First Name:PAMILA
Middle Name:K
Last Name:BRAR
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Gender:
Credentials:MD
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Mailing Address - Street 1:3525 DEL MAR HEIGHTS RD
Mailing Address - Street 2:#126
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2122
Mailing Address - Country:US
Mailing Address - Phone:858-922-2624
Mailing Address - Fax:858-461-0469
Practice Address - Street 1:9850 GENESEE AVE
Practice Address - Street 2:STE 570
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1224
Practice Address - Country:US
Practice Address - Phone:858-200-3007
Practice Address - Fax:858-346-9062
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2025-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME172259207R00000X
CAA62754207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A627540Medicaid
CAH09383Medicare UPIN
CA00A627540Medicaid