Individual
DR. BRANDON CORBETT WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 365B, LOS ANGELES, CA 90095-6402
(310) 825-7921
(310) 794-6553
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A179648
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2015
Last updated
08/30/2022
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