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Brace Bacon

NPI 1801505367 · on the registry since 2022

Practice

Address
11710 San Vicente Blvd
Los Angeles, CA 90049
Phone
(323) 405-7255
Organisation at this address
Oh Marriage & Family Therapy Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
18

Registry record

Primary taxonomy
106H00000X
106H00000X
Sex
Male
Record last updated
2022-11-23

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