Dr. Rene Henry Bravo
MD | Pediatrics | Male
Dr. Rene Henry Bravo, MD is a San Luis Obispo, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Rene Henry Bravo is
620 California Blvd, Suite J, San Luis Obispo, California - 93401-2541. He can be contacted on phone at
805-544-4460.
Dr. Rene Henry Bravo is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Rene Henry Bravo is
1255373965 which was assigned by NPPES on 10 Jun, 2006 and it was last updated on 08 Jul, 2007.
Dr. Rene Henry Bravo license number is
G52562 for Pediatrics (208000000X) in California.
Dr. Rene Henry Bravo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Rene Henry Bravo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Rene Henry Bravo |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Rene Henry Bravo 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 : | 620 California Blvd, Suite J
San Luis Obispo, CA, 93401-2541
United States |
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| Phone Number : | 805-544-4460 |
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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 : | 1255373965 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Jun, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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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 Dr. Rene Henry Bravo are as mentioned. Primary taxonomy code for Dr. Rene Henry Bravo, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | G52562 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Rene Henry Bravo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| G52562 | Other | CA | MED LICENSE |
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 : | 620 California Blvd, Suite J
San Luis Obispo, CA, 93401-2541
United States |
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| Phone Number : | 805-544-4460 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Rene Henry Bravo 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.