Organization
THE ADOLESCENT AND CHILDREN'S ORTHOPEDIC SURGEONS
Active
Other names
Family Orthopedic and Rehabilitation Center Encino
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH RICHARD BROOKENTHAL MD (MEDICAL DIRECTOR)
(818) 789-9449
Entity
Organization
Contact information
Practice address
5353 BALBOA BLVD, SUITE 202, ENCINO, CA 91316-2804
(818) 789-9449
(818) 789-9339
Mailing address
5353 BALBOA BLVD, SUITE 202, ENCINO, CA 91316-2804
(818) 789-9449
(818) 789-9339
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
A79821
CA
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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