Individual
DR. MICHAEL BROUKHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 SANTA MONICA BLVD STE 360W, SANTA MONICA, CA 90404-2175
(310) 829-7878
(310) 829-6889
Mailing address
1762 WESTWOOD BLVD, SUITE 300, LOS ANGELES, CA 90024-5632
(310) 441-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A101434
CA
207RC0000X
Cardiovascular Disease Physician
A101434
CA
207RI0011X
Interventional Cardiology Physician
Primary
A101434
CA
261QM2500X
Medical Specialty Clinic/Center
A101434
CA
Other
Enumeration date
10/12/2007
Last updated
11/21/2022
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