# GAIL BROCKMAN M.D. A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1922305853
- **Authorized official:** GAIL BROCKMAN M.D. (PHYSICIAN)
- **Authorized official phone:** (310) 277-7571

## Contact information

- **Practice address:** 2080 CENTURY PARK E, SUITE 303, LOS ANGELES, CA 90067-2001
- **Practice address phone:** (310) 277-7571
- **Practice address fax:** (310) 277-1058
- **Mailing address:** 2080 CENTURY PARK E, SUITE 303, LOS ANGELES, CA 90067-2001
- **Mailing address phone:** (310) 277-7571
- **Mailing address fax:** (310) 277-1058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | G032969 | CA | Yes |

## Other

- **Enumeration date:** 02/10/2011
- **Last updated:** 02/10/2011