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Search › California › 103T00000X

Koenraad Van Braeckel, PHD

NPI 1750791307 · on the registry since 2014

Practice

Address
3665 Kearny Villa Rd
San Diego, CA 92123
Phone
(858) 966-5817
Organisation at this address
Rady Childrens Hospital San Diego
Rady Children'S Hospital San Diego
Rady Children'S Hospital San Diego
Rady Children'S Hospital San Diego
Rady Children'S Hospital-San Diego
Inferred from a shared address, not stated in the registry.
Clinicians at this address
159

Registry record

Primary taxonomy
103T00000X
103T00000X
Also registered as
103TC0700X
Licence states on file
CA, IA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California