Individual
PAUL J. BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3831 HUGHES AVE STE 700, CULVER CITY, CA 90232
(310) 837-3668
(310) 837-3015
Mailing address
3831 HUGHES AVE STE 700, CULVER CITY, CA 90232-2751
(310) 837-3668
(310) 837-3015
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2963
CA
213ES0131X
Foot Surgery Podiatrist
2031
NV
213ES0131X
Foot Surgery Podiatrist
E2963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2031
STATE LICENSE NUMBER
NV
01
—
E2963
STATE LICENSE NUMBER
CA
Enumeration date
07/11/2006
Last updated
07/17/2018
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