Individual
DR. JONATHAN BRIGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, PEDIATRIC RESIDENCY OFFICE, LOS ANGELES, CA 90027-6062
(323) 361-2122
Mailing address
4650 W SUNSET BLVD, PEDIATRIC RESIDENCY OFFICE, LOS ANGELES, CA 90027-6062
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A125956
CA
Other
Enumeration date
11/09/2013
Last updated
11/09/2013
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