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Individual

MR. BRENT TOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RCP

Contact information

Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
4613 E WARWOOD RD, LONG BEACH, CA 90808-1552
(562) 857-9780

Taxonomy

Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
25944
CA

Other

Enumeration date
03/07/2014
Last updated
03/07/2014
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