Individual
BRENT JACOB GEFFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2876 SYCAMORE DR, SIMI VALLEY, CA 93065-1530
(805) 379-9646
Mailing address
2876 SYCAMORE DR, SIMI VALLEY, CA 93065-1530
(805) 379-9646
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
11393298-1205
UT
207Y00000X
Otolaryngology Physician
Primary
185833
CA
Other
Enumeration date
03/22/2018
Last updated
05/30/2023
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