Individual
DR. BRENT R.W. MOELLEKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 S SPALDING DR STE 340, BEVERLY HILLS, CA 90212-1841
(310) 273-1001
(310) 205-4881
Mailing address
545 S PLYMOUTH BLVD, LOS ANGELES, CA 90020-4709
(310) 273-1001
(310) 205-4881
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G059781
CA
Other
Enumeration date
10/18/2006
Last updated
07/09/2007
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