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Individual

ALLYSSA BRODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4650 SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
3701 WILSHIRE BLVD, SUITE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550
(323) 361-8052

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
95004156
CA
390200000X
Student in an Organized Health Care Education/Training Program
22676670
NY

Other

Enumeration date
07/10/2014
Last updated
10/20/2016
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