Individual
BRANDON LIBBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-5000
Mailing address
2111 S 2ND AVE, ARCADIA, CA 91006-4711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
259077
MA
207P00000X
Emergency Medicine Physician
Primary
C166621
CA
207P00000X
Emergency Medicine Physician
MD20943
ME
Other
Enumeration date
03/24/2010
Last updated
03/09/2024
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