Individual
KATHLEEN MARIE BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1245 16TH ST STE 202, SANTA MONICA, CA 90404-1240
(310) 794-7274
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A94984
CA
207VE0102X
Reproductive Endocrinology Physician
Primary
A94984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A949840
—
CA
Enumeration date
10/01/2007
Last updated
09/20/2024
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