Brooks, Ivan Israel

Brooks, Ivan Israel is an sole proprietor health care provider with primary practice located at 9400 Brighton Way Ste 205 , Beverly Hills CA 90210-4709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Phlebology. Allopathic & Osteopathic Physicians / Phlebology is his primary health care specialty. Brooks, Ivan Israel can be contacted via phone (310) 853-5850.

Contact Information

Primary practice address
9400 Brighton Way Ste 205 Beverly Hills CA 90210-4709
Phone: (310) 853-5850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A65321 California
Allopathic & Osteopathic Physicians / Phlebology 202K00000X A65321 California

Profile Details

NPI number 1689680522
LBN Legal business name Brooks, Ivan Israel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jun 18th, 2024 - about last year

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 1689680522 NPPES
California Other 00A653210 BLUE SHIELD

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