Organization
BENJAMIN BEHROOZAN M D INC
Active
Other names
GREAT CARE MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BEHROOZAN M.D. (MEDICAL DIRECTOR)
(310) 396-9999
Entity
Organization
Contact information
Practice address
2221 LINCOLN BLVD, SUITE 200, SANTA MONICA, CA 90405-1320
(310) 396-9999
(310) 664-8901
Mailing address
2221 LINCOLN BLVD, SUITE 200, SANTA MONICA, CA 90405-1320
(310) 396-9999
(310) 664-8901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A41374
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0026800
—
CA
Enumeration date
12/22/2006
Last updated
07/18/2011
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