Organization
MICHAEL BROUKHIM, M.D. PC
Active
Parent organization
INTEGRATED HEALTH CARE MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED HEALTH CARE MEDICAL GROUP
Authorized official
DR. MICHAEL BROUKHIM M.D. (CEO)
(310) 441-2000
Entity
Organization
Contact information
Practice address
1762 WESTWOOD BLVD, SUITE 300, LOS ANGELES, CA 90024-5632
(310) 441-2000
Mailing address
1762 WESTWOOD BLVD, SUITE 300, LOS ANGELES, CA 90024-5632
(310) 441-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A101434
CA
207RC0000X
Cardiovascular Disease Physician
A101434
CA
207RI0011X
Interventional Cardiology Physician
Primary
A101434
CA
261QM2500X
Medical Specialty Clinic/Center
A101434
CA
282N00000X
General Acute Care Hospital
A101434
CA
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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