Individual
DR. PHILIP BRAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-2129
(310) 423-4145
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 967-1780
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A141702
CA
208600000X
Surgery Physician
D0072457
MD
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A141702
CA
Other
Enumeration date
05/16/2009
Last updated
09/17/2020
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