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Organization

BROOKS WOMENS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARLON BROOKS MD (OWNER)
(818) 831-6611
Entity
Organization

Contact information

Practice address
10515 BALBOA BLVD STE 160, GRANADA HILLS, CA 91344-6368
(818) 831-6611
Mailing address
10515 BALBOA BLVD STE 160, GRANADA HILLS, CA 91344-6368
(818) 831-6611

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G71729
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0776338
CA
Enumeration date
08/13/2012
Last updated
08/13/2012
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