Skip Navigation

Provider Information for 1285807503

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

DR. MITRA H BRAL D.D.S

Gender: FEMALE

Individual NPI: 1285807503

Calendar   Last Updated:  2008-04-08
  Certification Date: 

Details

Name Value
NPI 1285807503
Enumeration Date 2008-04-08
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 10433 WILSHIRE BLVD APT #1103
LOS ANGELES, CA 90024-4637
United States

Phone: 310-278-5159 | Fax:
View Map External Link
Primary Practice Address 9201 W SUNSET BLVD STE. 716
WEST HOLLYWOOD, CA 90069-3701
United States

Phone: 310-278-5159 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 47045