Organization
BIJAN BROUKHIM, MD, INC
Active
Other names
INSTITUTE FOR WOMEN'S HEALTH LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
BIJAN BROUKHIM M.D. (MEDICAL DIRECTOR)
(818) 501-6775
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, SUITE 925, ENCINO, CA 91436-2124
(818) 501-6775
Mailing address
16311 VENTURA BLVD, SUITE 1080, ENCINO, CA 91436-2124
(818) 501-6775
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLF315352
CA
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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