Individual
DR. GREGORY SCOTT BREWSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 N SEPULVEDA BLVD STE 210, MANHATTAN BEACH, CA 90266-6849
(310) 379-2134
(310) 379-4856
Mailing address
PO BOX 661748, ARCADIA, CA 91066-1748
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A61173
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A61173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A611730
—
CA
Enumeration date
09/13/2005
Last updated
08/13/2012
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