Organization
GARY BRAZINA MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY E BRAZINA M.D. (PRESIDENT/OWNER)
(310) 821-2222
Entity
Organization
Contact information
Practice address
13160 MINDANAO WAY STE 300, MARINA DEL REY, CA 90292-6393
(310) 821-2222
(310) 823-5871
Mailing address
13160 MINDANAO WAY STE 300, MARINA DEL REY, CA 90292-6393
(310) 821-2222
(310) 823-5871
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G37830
CA
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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