Organization
IAN D BRODIE MD F R C S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN D BRODIE MD F R C S INC (OWNER)
(562) 594-8635
Entity
Organization
Contact information
Practice address
911 ELECTRIC AVENUE, SEAL BEACH, CA 90740-6315
(562) 594-8635
(562) 594-6009
Mailing address
911 ELECTRIC AVENUE, SEAL BEACH, CA 90740-6315
(562) 594-8635
(562) 594-6009
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
A29773
CA
Other
Enumeration date
06/08/2010
Last updated
02/01/2011
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