Ivan I. Brooks, A Professional Medical Corporation
LBN: Ivan I. Brooks, A Professional Medical Corporation
Ivan I. Brooks, A Professional Medical Corporation is an health care organization with primary practice located at 8670 Wilshire Blvd #300, Beverly Hills CA 90211-2924. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty.
Ivan I. Brooks, A Professional Medical Corporation can be contacted via phone (310) 275-1646, or through Brooks, Ivan Isreal via phone (310) 351-3876.
Contact Information
Primary practice address
8670 Wilshire Blvd #300
Beverly Hills CA 90211-2924
Phone: (310) 275-1646
Fax: (310) 275-4294
Website:
Authorized official contact:
Name: Brooks, Ivan Isreal Doctor of Medicine (MD)
Phone: (310) 351-3876
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | California |
Profile Details
| NPI number | 1932118270 |
|---|---|
| LBN Legal business name | Ivan I. Brooks, A Professional Medical Corporation |
| DBA Doing business as | |
| Authorized official | Brooks, Ivan Isreal Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Mar 10th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932118270 | NPPES |
| California | Other | 00A653210 | BLUE SHIELD |
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