Brandy A Hattendorf

MD | Pediatric Cardiology | Female

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Complete Profile:

Brandy A Hattendorf basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Brandy A Hattendorf
Credential :	MD
Gender :	Female

Business Address:

Brandy A Hattendorf address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	4650 W Sunset Blvd Los Angeles, CA, 90027-6062 United States
Phone Number :	323-361-2450

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1598837304
NPI Entity Type :	Individual
First Enrolment Date :	15 Nov, 2006
Last Updated On :	13 Jun, 2019

Medicare Participation:

Brandy A Hattendorf participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7416989660
Medicare Enrollment ID :	I20050908000501
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	2005
Accepts Medicare?	Yes. Brandy A Hattendorf accepts medicare insurance.

Group Practice Association:

Brandy A Hattendorf is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Brandy A Hattendorf is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Childrens Hospital Los Angeles Medical Group Inc	0143126920	163	4650 W Sunset Blvd Los Angeles, CA - 900276062 Ph: 3233618408	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brandy A Hattendorf are as mentioned. Primary taxonomy code for Brandy A Hattendorf, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	No	MD 60077708	WA
2080P0202X	Pediatrics Pediatric Cardiology	Yes	A89496	CA

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	3701 Wilshire Blvd Ste 600 Los Angeles, CA, 90010-2814 United States
Phone Number :	323-361-2336

Business Location:

Patients can refer following map for directions to Brandy A Hattendorf practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.