Individual
DANE JENSEN BRODKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
757 WESTWOOD PLAZA, (ORTHOPAEDIC SURGERY), LOS ANGELES, CA 90095
(310) 825-6557
Mailing address
ORTHOPAEDIC SURGERY - ROOM 76-143 CHS, 10833 LE CONTE AVENUE, LOS ANGELES, CA 90095
(310) 825-6557
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
163519
CA
Other
Enumeration date
04/05/2018
Last updated
08/02/2019
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