Individual
BROOKS CARLTON MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2045 ROYAL AVE STE 234, SIMI VALLEY, CA 93065-4600
(805) 578-9751
(805) 578-2821
Mailing address
2045 ROYAL AVE STE 234, SIMI VALLEY, CA 93065-4600
(805) 578-9751
(805) 578-2821
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G60910
CA
Other
Enumeration date
08/24/2005
Last updated
11/18/2011
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