Provider Demographics
NPI:1801937651
Name:BRATH, WILLIAM FRANK (MD, MPH)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:FRANK
Last Name:BRATH
Suffix:
Gender:M
Credentials:MD, MPH
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Other - First Name:
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Mailing Address - Street 1:1534 S MONTE VIENTO ST
Mailing Address - Street 2:
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-3062
Mailing Address - Country:US
Mailing Address - Phone:310-641-8111
Mailing Address - Fax:310-337-7274
Practice Address - Street 1:8930 S. SEPULVEDA BL.
Practice Address - Street 2:S-200
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045
Practice Address - Country:US
Practice Address - Phone:310-641-8111
Practice Address - Fax:310-337-7274
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG112542083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine