Individual
BRANDON KEN ITAGAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-8307
Mailing address
UCLA MEDICAL CENTER DEPT MEDICINE, 10833 LE CONTE AVE. ROOM 16-155, LOS ANGELES, CA 90095-6932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A99873
CA
Other
Enumeration date
01/18/2008
Last updated
01/18/2008
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