Brooks, Marlon
Brooks, Marlon is an sole proprietor health care provider with primary practice located at 10515 Balboa Blvd Suite 160, Granada Hills CA 91344-6343. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Brooks, Marlon can be contacted via phone (818) 831-6611.Contact Information
Primary practice address
10515 Balboa Blvd Suite 160
Granada Hills CA 91344-6343
Phone: (818) 831-6611
Fax: (818) 831-3836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | G71729 | California |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | G71729 | California |
Profile Details
| NPI number | 1346278587 |
|---|---|
| LBN Legal business name | Brooks, Marlon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Nov 14th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346278587 | NPPES |
| California | MEDICAID | 00G717291 |
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