Individual
KEITH R BROOKENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5353 BALBOA BLVD, SUITE 202, ENCINO, CA 91316-2804
(818) 789-9449
Mailing address
24712 HERMOSILLA COURT, CALABASAS, CA 91302
(818) 223-9568
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A79821
CA
Other
Enumeration date
03/21/2006
Last updated
06/03/2008
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