Organization
BENJAMIN BROUKHIM M.D. A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN BROUKHIM M.D. (MEDICAL DIRECTOR)
(818) 755-6070
Entity
Organization
Contact information
Practice address
11650 RIVERSIDE DR, SECOND FLOOR, NORTH HOLLYWOOD, CA 91602-1093
(818) 755-6070
(818) 755-1870
Mailing address
11650 RIVERSIDE DR, SECOND FLOOR, NORTH HOLLYWOOD, CA 91602-1093
(818) 755-6070
(818) 755-1870
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A37198
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A37198
—
CA
Enumeration date
08/19/2008
Last updated
08/29/2014
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