Madden, Brian D
Madden, Brian D is an individual health care provider with primary practice located at 2021 Santa Monica Blvd Ste 245E , Santa Monica CA 90404-2132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Madden, Brian D can be contacted via phone (310) 829-8975.Contact Information
Primary practice address
2021 Santa Monica Blvd Ste 245E
Santa Monica CA 90404-2132
Phone: (310) 829-8975
Fax: (424) 291-4108
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A70323 | California |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | A70323 | California |
Profile Details
NPI number | 1780639914 |
---|---|
LBN Legal business name | Madden, Brian D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2006 |
Last updated | Jan 23rd, 2024 - about 11 months 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 | 1780639914 | NPPES |
California | MEDICAID | GR0091750 |
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