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Individual

DR. BRIAN E DUBOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8631 W 3RD ST, SUITE 635 EAST, LOS ANGELES, CA 90048-5901
(310) 855-1160
(310) 657-7052
Mailing address
8631 W 3RD ST, SUITE 635 EAST, LOS ANGELES, CA 90048-5901
(310) 855-1160
(310) 657-7052

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G72505
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G72505
CA
207ND0900X
Dermatopathology Physician
G72505
CA
207NS0135X
Procedural Dermatology Physician
Primary
G72505
CA

Other

Enumeration date
08/31/2006
Last updated
09/11/2025
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