Individual
DR. BRIAN D MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2021 SANTA MONICA BLVD STE 245E, SANTA MONICA, CA 90404-2132
(310) 829-8975
(424) 291-4108
Mailing address
1821 WILSHIRE BLVD STE 100, SANTA MONICA, CA 90403-5627
(310) 575-3100
(310) 575-3102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A70323
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
A70323
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0091750
—
CA
Enumeration date
05/24/2006
Last updated
01/23/2024
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