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
Fax: (858) 750-2984
Website:

Health care specialties

SpecialtyCodeLicense #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 7 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 1114173937 NPPES
California Other DL390Z MEDICARE PTAN

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