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Organization
INTERACTIVE HEALTHCARE MEDICAL GROUP PC
Active
Organization
INTERACTIVE HEALTHCARE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S BROUKHIM MD (PRESIDENT)
(310) 441-2000
Entity
Organization
Contact information
Practice address
1762 WESTWOOD BLVD, 300, LOS ANGELES, CA 90024-5632
(310) 441-2000
(310) 441-2020
Mailing address
1762 WESTWOOD BLVD, 300, LOS ANGELES, CA 90024-5632
(310) 441-2000
(310) 441-2020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A101434
CA
261QM1300X
Multi-Specialty Clinic/Center
A101434
CA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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