Individual
BRIAN JASON BROTHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 ZONAL AVE RM 112, LOS ANGELES, CA 90089-0121
(323) 226-3688
Mailing address
2020 ZONAL AVE RM 112, LOS ANGELES, CA 90089-0121
(323) 226-3688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A115778
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A115778
CA
208000000X
Pediatrics Physician
A115778
CA
Other
Enumeration date
02/11/2011
Last updated
04/01/2025
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