Organization
BEHROOZ BROUKHIM, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEHROOZ BROUKHIM MD (PRESIDENT)
(818) 755-6500
Entity
Organization
Contact information
Practice address
10640 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91602-2319
(818) 755-6500
(818) 755-1870
Mailing address
10640 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91602-2319
(818) 755-6500
(818) 755-1870
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A30853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A30853
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
11/20/2013
Last updated
11/20/2013
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