Individual
DR. BENJAMIN BROUKHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10614 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91602-2373
(818) 755-6070
(818) 755-1870
Mailing address
11650 RIVERSIDE DR, 2ND FLOOR, NORTH HOLLYWOOD, CA 91602-1066
(818) 755-6070
(818) 755-1870
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A37198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A371980
—
CA
01
—
W18252
MEDICARE ID#
CA
Enumeration date
03/23/2006
Last updated
07/11/2016
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