Organization
BRIAN R. GANTWERKER, M.D., A MEDICAL CORPORATION
Active
Other names
The Craniospinal Center of Los Angeles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN RANDALL GANTWERKER M.D. (PRESIDENT)
(310) 694-8300
Entity
Organization
Contact information
Practice address
2811 WILSHIRE BLVD, SUITE 840, SANTA MONICA, CA 90403-4807
(310) 694-8300
(310) 694-8357
Mailing address
PO BOX 492209, LOS ANGELES, CA 90049-2209
(310) 694-8300
(310) 694-8357
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A109316
CA
Other
Enumeration date
02/08/2011
Last updated
07/19/2016
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