Individual provider · Type 1 NPI
Ricardo Bravo, CNIM
Electroneurodiagnostic Specialist/Technologist · South Gate, CA
NPI number
1801293279
Active
Practice location
9320 Mcnerney Ave
South Gate, CA 90280-4938
Mailing address
PO Box 1625
Hawaiian Gardens, CA 90716-1625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | 201 (CA) |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
About NPI 1801293279
Ricardo Bravo, CNIM's National Provider Identifier is 1801293279, issued on Dec 1, 2014. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in South Gate, CA. The record was last updated on Dec 1, 2014.