Organization
JONATHAN LEONARD BRAND, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LEONARD BRAND M. D. (OWNER)
(310) 306-6150
Entity
Organization
Contact information
Practice address
3630 E IMPERIAL HWY, LYNWOOD, CA 90262-2636
(310) 701-7830
(310) 645-5532
Mailing address
4314 MARINA CITY DR, SUITE 1118CTS, MARINA DEL REY, CA 90292-5816
(310) 306-6150
(310) 645-5532
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
G50045
CA
273R00000X
Psychiatric Hospital Unit
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G500451
—
CA
Enumeration date
01/06/2012
Last updated
02/22/2013
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