Individual
BRANDON KELLY KORETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095
(310) 206-6232
Mailing address
5767 W CENTURY BLVD, SQUITE 200, LOS ANGELES, CA 90045-5632
(310) 825-6232
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A65670
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A656700
—
CA
Enumeration date
07/18/2006
Last updated
06/28/2010
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