Individual
NOAM BRODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8700 BEVERLY BLVD # B220, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5252
(310) 423-8441
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
(310) 967-1780
(866) 991-4287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A164383
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A164383
CA
Other
Enumeration date
05/14/2014
Last updated
08/03/2021
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