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Organization

NORMAN A. BROOKS, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NORMAN A. BROOKS M.D. (PRESIDENT OF MEDICAL CORP.)
(818) 907-8144
Entity
Organization

Contact information

Practice address
16311 VENTURA BLVD, SUITE 690, ENCINO, CA 91436-2124
(818) 907-8144
(818) 907-5967
Mailing address
16311 VENTURA BLVD, SUITE 690, ENCINO, CA 91436-2124
(818) 907-8144
(818) 907-5967

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
G25704
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G257040
CA
Enumeration date
09/22/2010
Last updated
08/19/2014
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