Individual
MR. JONATHAN L BRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2609
(310) 900-8662
(424) 400-7749
Mailing address
PO BOX 4570, PALOS VERDES PENINSULA, CA 90274-9607
(424) 400-7748
(424) 400-7749
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G50045
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G500451
—
CA
01
—
120523
LA CO MENTAL HEALTH
CA
Enumeration date
10/13/2005
Last updated
12/13/2019
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