Organization
GERALD BRESNAHAN, M.D., INC.
Active
Organization
GERALD BRESNAHAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD FRANCIS BRESNAHAN M.D. (OWNER)
(310) 672-3636
Entity
Organization
Contact information
Practice address
575 E HARDY ST, SUITE 305, INGLEWOOD, CA 90301-4036
(310) 672-3636
(310) 672-1021
Mailing address
575 E HARDY ST, SUITE 305, INGLEWOOD, CA 90301-4036
(310) 672-3636
(310) 672-1021
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G14924
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G149240
—
CA
01
—
061916025
RAILROAD MEDICARE
CA
Enumeration date
05/24/2007
Last updated
05/28/2008
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