Organization
GENE M BROTH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE M BROTH MD (PRESIDENT)
(818) 996-4242
Entity
Organization
Contact information
Practice address
2925 SYCAMORE DR, SUITE 201, SIMI VALLEY, CA 93065-1207
(805) 522-0333
(805) 522-0333
Mailing address
2925 SYCAMORE DR, SUITE 201, SIMI VALLEY, CA 93065-1207
(805) 522-0333
(805) 522-4230
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
CO26169
CA
Other
Enumeration date
10/22/2007
Last updated
03/12/2009
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