Individual
BRENDAN J CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8670 WILSHIRE BLVD, STE 203, BEVERLY HILLS, CA 90211-2924
(310) 855-1023
Mailing address
8670 WILSHIRE BLVD, STE 203, BEVERLY HILLS, CA 90211-2924
(310) 855-1023
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G51142
CA
Other
Enumeration date
07/28/2006
Last updated
01/27/2010
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