Individual
MR. KAMRAN H. BROUKHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12629 RIVERSIDE DR, NORTH HOLLYWOOD, CA 91607-3488
(310) 471-5852
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 204-6747
(626) 396-0851
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G68940
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G689400
—
CA
Enumeration date
10/18/2006
Last updated
03/24/2016
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