Individual
MARLON BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10515 BALBOA BLVD, SUITE 160, GRANADA HILLS, CA 91344-6343
(818) 831-6611
(818) 831-3836
Mailing address
10515 BALBOA BLVD, SUITE 160, GRANADA HILLS, CA 91344-6343
(818) 831-6611
(818) 831-3836
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
G71729
CA
207VX0000X
Obstetrics Physician
G71729
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G717291
—
CA
Enumeration date
06/28/2006
Last updated
11/14/2014
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