Organization
H. GEORGE BRENNAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H. GEORGE BRENNAN M.D. (OWNER)
(949) 644-1641
Entity
Organization
Contact information
Practice address
400 NEWPORT CENTER DR, STE. 100, NEWPORT BEACH, CA 92660-7601
(949) 644-1641
Mailing address
11999 SAN VICENTE BLVD, STE. 440, LOS ANGELES, CA 90049-5131
(310) 440-3131
(310) 472-9582
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
C27484
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C27484
LICENSE NUMBER
CA
Enumeration date
07/04/2006
Last updated
08/22/2020
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