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Individual

BEHROUZ BROOMAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6056 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91606-4806
(818) 761-2300
(818) 761-5066
Mailing address
6056 LANKERSHIM BLVD, NORTH HOLLYWOOD, CA 91606-4806
(818) 761-2300
(818) 761-5066

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A043704
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A437040
CA
Enumeration date
10/02/2006
Last updated
07/08/2007
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