# BARRY J BROCK MD INC.

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

## Provider details

- **NPI number:** 1902363203
- **Authorized official:** MR. BARRY JOEL BROCK MD (PRESIDENT/CEO)
- **Authorized official phone:** (310) 432-6640

## Contact information

- **Practice address:** 421 N RODEO DRIVE, PENTHOUSE 1, BEVERLY HILLS, CA 90210
- **Practice address phone:** (310) 432-6640
- **Practice address fax:** (610) 432-6647
- **Mailing address:** 421 N RODEO DRIVE, PENTHOUSE 1, BEVERLY HILLS, CA 90210
- **Mailing address phone:** (310) 432-6640
- **Mailing address fax:** (610) 432-6647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/23/2019
- **Last updated:** 02/23/2019
