Organization
MARK A. BRIM, D.P.M., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A. BRIM D.P.M. (PRESIDENT)
(818) 783-3338
Entity
Organization
Contact information
Practice address
17200 VENTURA BLVD., SUITE 207, ENCINO, CA 91316-2804
(818) 783-3338
(818) 583-1444
Mailing address
17200 VENTURA BLVD, SUITE 207, ENCINO, CA 91316-4005
(818) 783-3338
(818) 583-1444
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1542
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E15420
—
CA
Enumeration date
01/18/2007
Last updated
07/30/2013
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