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Individual

DANIEL C BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 829-8565
(310) 315-6155
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 737-2935

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
54930
CT
2084V0102X
Vascular Neurology Physician
Primary
C183435
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
54930
CT STATE MEDICAL LICENSE
CT
Enumeration date
03/31/2011
Last updated
01/31/2023
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