Organization
GARY BRAZINA MD INC.
Active
Parent organization
GARY BRAZINA MD INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
GARY BRAZINA MD INC.
Authorized official
GARY BRAZINA MD (OWNER)
(310) 821-2222
Entity
Organization
Contact information
Practice address
13160 MINDANAO WAY, STE 300, MARINA DEL REY, CA 90292-6358
(310) 821-2222
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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