Individual provider · NPI-1

Dr. Brian Randall Gantwerker, M.D.

Neurological Surgery · Santa Monica, CA

NPI number1609842715
StatusActive
Last updated in NPPESJun 14, 2016

Details

NPI
1609842715
Entity type
Individual (NPI-1)
Name
Dr. Brian Randall Gantwerker
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 28, 2006
Last updated
Jun 14, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological SurgeryA109316CAYes

Practice location

2811 Wilshire Blvd
Suite 840
Santa Monica, CA 90403-4803

Phone 310-694-8300 · Fax 310-694-8357

Mailing address

Po Box 492209
Los Angeles, CA 90049-2209

Phone 310-694-8300 · Fax 310-694-8357

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