Individual
BRIAN WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 SANTA MONICA BLVD STE 560W, SANTA MONICA, CA 90404-2182
(310) 453-5654
Mailing address
2001 SANTA MONICA BLVD STE 560W, SANTA MONICA, CA 90404-2182
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A200123
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2019
Last updated
07/30/2025
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