Provider Demographics
NPI:1144363052
Name:RICHARD M BRAUN INC
Entity type:Organization
Organization Name:RICHARD M BRAUN INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:HURSHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-299-5000
Mailing Address - Street 1:770 WASHINGTON ST
Mailing Address - Street 2:#207
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-2209
Mailing Address - Country:US
Mailing Address - Phone:619-299-5000
Mailing Address - Fax:619-299-1549
Practice Address - Street 1:770 WASHINGTON ST
Practice Address - Street 2:#207
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2209
Practice Address - Country:US
Practice Address - Phone:619-299-5000
Practice Address - Fax:619-299-1549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty