Dr. Elizabeth Alexis Bragg, M.D.
Anesthesiology, Pediatric Anesthesiology in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982809877
StatusActive
Last updated in NPPESJul 31, 2017
Details
- NPI
- 1982809877
- Entity type
- Individual (NPI-1)
- Name
- Dr. Elizabeth Alexis Bragg
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2007
- Last updated
- Jul 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP3000X | Anesthesiology, Pediatric Anesthesiology | 134893 | CA | Yes |
| 208000000X | Pediatrics | D70758 | MD |
Other names
- Elizabeth Alexis Charnovich (Former Name)
Practice location
4650 Sunset Blvd Ms#3Los Angeles, CA 90027
Phone 323-361-5591
Mailing address
1750 Camino Palmero St Apt 440Los Angeles, CA 90046-2984
Phone 412-527-6610
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