Organization
BRENT J. MICHAEL, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT JAMES MICHAEL M.D. (PRESIDENT)
(310) 829-7777
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD STE 470W, SANTA MONICA, CA 90404-2181
(310) 829-7777
(310) 829-9951
Mailing address
2001 SANTA MONICA BLVD STE 470W, SANTA MONICA, CA 90404-2181
(310) 829-7777
(310) 829-9951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/10/2015
Last updated
05/14/2021
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