| Doctor Name: | MR. PAUL BRACHO |
| NPI Number: | 1326185018 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW MST |
| License Number: | LCS15134 |
| Business Practice Address: | 21530 Pioneer Blvd Hawaiian Gardens, CA - 907162608 |
| Business Phone Number: | 5624029779 |
| Business Fax Number: | |
| Mailing Address: | Po Box 800817, SANTA CLARITA |
| State: | CA |
| Postal Code: | 913800817 |
| Phone Number: | 6612950859 |
| Fax Number: | 6612950862 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCS15134 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |