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Contact Information

TODD G BROBERG, MD
4647 ZION AVE
SAN DIEGO, CA92120-2507
 Phone: 619-528-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for TODD G BROBERG · (Male)

NPI # 1174682777
Status Active
Credentials MD
Entity Individual
Enumeration date 12/08/2006
Last updated 11/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G79418
Hospital affiliation(s)
  • KAISER FOUNDATION HOSPITAL - SAN DIEGO - (Acute Care)
    4647 ZION AVE
    SAN DIEGO, CA 92120
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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