Individual
DR. IVAN ISRAEL BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9400 BRIGHTON WAY STE 205, BEVERLY HILLS, CA 90210-4709
(310) 853-5850
Mailing address
9663 SANTA MONICA BLVD, PMB 749, BEVERLY HILLS, CA 90210-4303
(310) 853-5850
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
A65321
CA
207L00000X
Anesthesiology Physician
A65321
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A653210
BLUE SHIELD
CA
Enumeration date
07/31/2006
Last updated
10/21/2025
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