Brouha, Brook L
Brouha, Brook L is an individual health care provider with primary practice located at 7300 Girard Ave Suite 104, La Jolla CA 92037-5138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatopathology, which is considered as his primary health care specialty. Brouha, Brook L can be contacted via phone (858) 750-2983.Contact Information
Primary practice address
7300 Girard Ave Suite 104
La Jolla CA 92037-5138
Phone: (858) 750-2983
Fax: (858) 750-2984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | A97902 | California |
Profile Details
| NPI number | 1114173937 |
|---|---|
| LBN Legal business name | Brouha, Brook L |
| Credentials | MD/PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2008 |
| Last updated | Apr 6th, 2017 - about 8 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 | 1114173937 | NPPES |
| California | Other | DL390Z | MEDICARE PTAN |
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