Individual
BLAKE JOHNATHAN BROUKHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
10614 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91602-2373
(818) 755-6070
(818) 755-1870
Mailing address
10614 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91602-2373
(818) 755-6070
(818) 755-1870
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC20441
CA
Other
Enumeration date
09/26/2025
Last updated
10/27/2025
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