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Contact Information

LAURA BRECKENRIDGE, NP
1001 SNEATH LN
SUITE 104
SAN BRUNO, CA94066-2308
 Phone: 650-873-4545
 Fax: 650-873-4544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LAURA BRECKENRIDGE · (Female)

NPI # 1013091594
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 10/24/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G64476
  • CA Medicaid 00G644760
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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