Individual
JOHN OLIVER BROOKS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 UCLA MEDICAL PLZ STE 2200, LOS ANGELES, CA 90095-8353
(310) 825-9989
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A54784
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A547840
—
CA
Enumeration date
10/13/2006
Last updated
07/17/2024
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