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Individual

DR. GARY BRAZINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
13160 MINDANAO WAY, STE 300, MARINA DEL REY, CA 90292-6358
(310) 821-2222
(310) 823-5871
Mailing address
13160 MINDANAO WAY, STE 300, MARINA DEL REY, CA 90292-6358
(310) 821-2222
(310) 823-5871

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G37830
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G37830
MEDICAL LICENSE
CA
Enumeration date
08/31/2006
Last updated
07/08/2007
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