Organization
BROOKDALE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BARKODAR MD (PRESIDENT)
(323) 567-9909
Entity
Organization
Contact information
Practice address
2809 TWEEDY BLVD, SOUTH GATE, CA 90280
(323) 567-9909
(323) 567-9929
Mailing address
2809 TWEEDY BLVD, SOUTH GATE, CA 90280
(323) 567-9909
(323) 567-9929
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OA44541
CA
208D00000X
General Practice Physician
OA44541
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0102030
—
CA
Enumeration date
02/08/2007
Last updated
12/23/2010
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