Individual
DR. BRANDON MARK WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST STE 1000, LOS ANGELES, CA 90033-5312
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A116066
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A116066
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A116066
CA
Other
Enumeration date
10/20/2009
Last updated
12/21/2023
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