PETER MATTHEW BRACKEN

LOS ANGELES, CA
NPI1780611715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA14573)
Enumeration Date2006-06-26
Last Update Date2015-02-02
Business Address
-- PETER MATTHEW BRACKEN P.A.-c
1828 S WESTERN AVE SUITE 10
LOS ANGELES, CA 90006-5808
Phone number: 323-730-0310
Mailing Address
-- PETER MATTHEW BRACKEN P.A.-c
5415 NEWCASTLE AVE #6
ENCINO, CA 91316-2012
Phone number: 818-335-3345
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