# LORENZO A. BRIONES, M.D., INC.

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

## Provider details

- **NPI number:** 1760801716
- **Authorized official:** DR. LORENZO ANGELES BRIONES M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (323) 461-5600

## Contact information

- **Practice address:** 4643 BEVERLY BLVD, SUITE 103, LOS ANGELES, CA 90004-3101
- **Practice address phone:** (323) 461-5600
- **Mailing address:** 4643 BEVERLY BLVD, SUITE 103, LOS ANGELES, CA 90004-3101
- **Mailing address phone:** (323) 461-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A39376 | CA | Yes |

## Other

- **Enumeration date:** 04/07/2014
- **Last updated:** 04/07/2014