Organization
JAMES S. BRUST, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES S. BRUST M.D. (PRESIDENT)
(310) 832-7943
Entity
Organization
Contact information
Practice address
2403 S MORAY AVE, SUITE #4, SAN PEDRO, CA 90732-4342
(310) 832-7943
(310) 514-8017
Mailing address
2403 S MORAY AVE, SUITE #4, SAN PEDRO, CA 90732-4342
(310) 832-7943
(310) 514-8017
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/19/2011
Last updated
12/19/2011
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