Provider Information for 1053669317
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. MONIKA SILVIA BROECKER MS, MA
Sex: Female
NPI: 1053669317
Last Updated: 2013-06-27
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1053669317 | ||||||||
| Enumeration Date | 2012-08-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2210 CALIFORNIA ST # B BERKELEY, CA 94703-1608 United States Phone: 650-296-3942 | Fax: | ||||||||
| Primary Practice Address | 2210 CALIFORNIA ST # B BERKELEY, CA 94703-1608 United States Phone: 650-296-3942 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|