Individual
MR. JOHN JOSEPH BROZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 N MAIN ST STE 1400, LOS ANGELES, CA 90012-4127
(561) 271-8963
Mailing address
3137 W 78TH ST, LOS ANGELES, CA 90043-5214
(561) 271-8963
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
56514
CA
363AM0700X
Medical Physician Assistant
—
CA
363AM0700X
Medical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/31/2019
Last updated
11/12/2024
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