Organization
SHARP IMAGING MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN NOLAN BROURMAN M.D. (PRESIDENT)
(310) 657-2202
Entity
Organization
Contact information
Practice address
14600 SHERMAN WAY, SUITE 100A, VAN NUYS, CA 91405-2283
(818) 815-3910
(818) 933-7550
Mailing address
PO BOX 51081, LOS ANGELES, CA 90051-5381
(818) 815-3910
(818) 933-7550
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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