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BRENTWOOD DERMATOLOGY MEDICAL GROUP INC

Organization (NPI-2) Active

Dermatology

Provider Information

NPI Number
1427089911
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
11980 SAN VICENTE BLVD SUITE # 120, LOS ANGELES, CA, 900495012
Phone
(310) 826-2051
Fax
(310) 979-0185

Specialties & Taxonomies

Dermatology Primary

All Addresses

LOCATION

11980 SAN VICENTE BLVD SUITE # 120

LOS ANGELES, CA, 900495012

(310) 826-2051

MAILING

11980 SAN VICENTE BLVD. SUITE # 120

LOS ANGELES, CA, 90049

(310) 826-2051