Provider Information for 1073134250
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
SHEILA BRITTAIN
Sex: Female
NPI: 1073134250
Last Updated: 2020-04-29
Certification Date: 2020-04-29
Certification Date: 2020-04-29
Details
Name | Value | ||||||||
---|---|---|---|---|---|---|---|---|---|
NPI | 1073134250 | ||||||||
Enumeration Date | 2020-04-29 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 6709 LA TIJERA BLVD # 457 LOS ANGELES, CA 90045-2017 United States Phone: 323-333-5332 | Fax: | ||||||||
Primary Practice Address | 1436 1/2 S SIERRA BONITA AVE LOS ANGELES, CA 90019-3965 United States Phone: 323-333-5332 | Fax: | ||||||||
Secondary Practice Address(es) | |||||||||
Health Information Exchange |
| ||||||||
Other Identifiers |
| ||||||||
Taxonomy |
|