Sandra Jeanne Brim


Address: 11601 Gorham Ave, Apt 1, Los Angeles, CA 90049-4738
Phone: 4243553697

Sandra Jeanne Brim (NPI# 1295802189, PAC ID# 5991059701) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1295802189
PAC ID by PECOS 5991059701
Professional Enrollment ID I20181114002225
Full Name Sandra Jeanne Brim
Address 11601 Gorham Ave
Apt 1
Los Angeles
CA 90049-4738
Phone Number 4243553697
Gender F
Graduation Year 1980
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
11601 Gorham Ave, Apt 1, Los Angeles, CA 90049-4738 4243553697

Organization Information

Office Location

Street Address 11601 GORHAM AVE
APT 1
City LOS ANGELES
State CA
Zip 90049-4738

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Competitor

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City LOS ANGELES
Zip Code 90049
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty LOS ANGELES + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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