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Organization
JOEY BRETT MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
JOEY BRETT MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEY BRETT MD (CEO)
(818) 789-0034
Entity
Organization
Contact information
Practice address
13320 RIVERSIDE DR, SUITE 104, SHERMAN OAKS, CA 91423-2502
(818) 789-0034
(818) 789-0042
Mailing address
12400 VENTURA BLVD, # 738, STUDIO CITY, CA 91604-2406
(818) 789-0034
(818) 789-0042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A55102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A551020
MEDI-CAL NUMBER
CA
01
—
1003927872
NPI
CA
Enumeration date
08/31/2006
Last updated
02/19/2008
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