Brookdale Medical Center INC
Pediatrics in South Gate, CA. Organization (NPI-2).
NPI number1265572903
StatusActive
Last updated in NPPESDec 23, 2010
Details
- NPI
- 1265572903
- Entity type
- Organization (NPI-2)
- Legal business name
- Brookdale Medical Center INC
- Organization subpart
- No
- Enumeration date
- Feb 8, 2007
- Last updated
- Dec 23, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | OA44541 | CA | Yes |
| 208D00000X | General Practice | OA44541 | CA |
Practice location
2809 Tweedy BlvdSouth Gate, CA 90280
Phone 323-567-9909 · Fax 323-567-9929
Mailing address
2809 Tweedy BlvdSouth Gate, CA 90280
Phone 323-567-9909 · Fax 323-567-9929
Authorized official
John Barkodar
President
3235679909
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