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