Brodsky, Michael A

Brodsky, Michael A is an individual health care provider with primary practice located at 801 N Tustin Ave Suite 706, Santa Ana CA 92705-3612. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Other Service Providers / Specialist is his primary health care specialty. Brodsky, Michael A can be contacted via phone (714) 568-6600.

Contact Information

Primary practice address
801 N Tustin Ave Suite 706 Santa Ana CA 92705-3612
Phone: (714) 568-6600
Fax: (714) 245-0260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD11837 Hawaii
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X MD11837 Hawaii
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1275538423
LBN Legal business name Brodsky, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jan 13th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275538423 NPPES
Hawaii MEDICAID 57286901
Hawaii MEDICAID GR0059850
Hawaii Other 0000255315

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