Individual
CHRISTINE Z BRODY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2067 W VISTA WAY, VISTA, CA 92083-6031
(760) 758-3000
(760) 758-5943
Mailing address
2067 W VISTA WAY, VISTA, CA 92083-6001
(760) 758-3000
(760) 758-5943
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G84300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G84300
STATE MEDICAL LICENSE
CA
Enumeration date
10/25/2005
Last updated
07/08/2007
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