Individual
DAVID SHASTRI BRENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ, LOS ANGELES, CA 90095-2143
(310) 301-6800
(310) 794-9035
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
A123065
CA
2085R0202X
Diagnostic Radiology Physician
A123065
CA
Other
Enumeration date
06/10/2008
Last updated
10/23/2023
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