# H. GEORGE BRENNAN, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255361432
- **Authorized official:** DR. H. GEORGE BRENNAN M.D. (OWNER)
- **Authorized official phone:** (949) 644-1641

## Contact information

- **Practice address:** 400 NEWPORT CENTER DR, STE. 100, NEWPORT BEACH, CA 92660-7601
- **Practice address phone:** (949) 644-1641
- **Mailing address:** 11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
- **Mailing address phone:** (310) 440-3131
- **Mailing address fax:** (310) 472-9582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | C27484 | CA | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 08/22/2020