Individual
DR. WILLIAM IRWIN BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ STE 8501, LOS ANGELES, CA 90095-3310
(310) 206-8232
(310) 825-7473
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G25702
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760770259
—
CA
Enumeration date
07/18/2011
Last updated
11/18/2019
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