Organization
DALE J BRENT MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE J BRENT MD (OWNER)
(818) 784-1195
Entity
Organization
Contact information
Practice address
4955 VAN NUYS BLVD, SUITE 411, SHERMAN OAKS, CA 91403
(818) 784-1195
(818) 784-7026
Mailing address
4955 VAN NUYS BLVD STE 400, SHERMAN OAKS, CA 91403-1812
(818) 784-1195
(818) 784-6473
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A43070
CA
Other
Enumeration date
06/20/2007
Last updated
02/24/2020
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