BRENTWOOD MEDICAL GROUP A PROFESSIONAL MEDICAL CORP

LOS ANGELES, CA
NPI1720322415
Entity TypeOrganization
Authorized ContactJAVID TAVARI
President
310-696-0101
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  20A6273)
Enumeration Date2012-11-19
Last Update Date2018-02-26
Business Address
BRENTWOOD MEDICAL GROUP A PROFESSIONAL MEDICAL CORP
11645 WILSHIRE BLVD SUITE 745
LOS ANGELES, CA 90025-1708
Phone number: 310-696-0101
Mailing Address
BRENTWOOD MEDICAL GROUP A PROFESSIONAL MEDICAL CORP
11645 WILSHIRE BLVD SUITE 745
LOS ANGELES, CA 90025-1708
Phone number: 310-696-0101
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