Organization
KEVIN BRENNER, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BRENNER MD (PRESIDENT)
(310) 777-5400
Entity
Organization
Contact information
Practice address
465 NORTH ROXBURY DRIVE, SUITE 800, BEVERLY HILLS, CA 90210
(310) 777-5400
(310) 388-5352
Mailing address
465 NORTH ROXBURY DRIVE, SUITE 800, BEVERLY HILLS, CA 90210
(310) 777-5400
(310) 388-5352
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
A79032
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A79032
CA
Other
Enumeration date
03/03/2014
Last updated
01/06/2015
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