Organization
JOSEPH BROUJERDI, M.D., D.M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BROUJERDI M.D. (PRESIDENT)
(310) 276-9200
Entity
Organization
Contact information
Practice address
9735 WILSHIRE BLVD, SUITE 414, BEVERLY HILLS, CA 90212-2107
(310) 276-9200
Mailing address
9735 WILSHIRE BLVD, SUITE 414, BEVERLY HILLS, CA 90212-2107
(310) 276-9200
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A86881
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A86881
MEDICAL LICENSE
CA
Enumeration date
04/17/2007
Last updated
08/19/2008
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