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Contact Information

IAN D BRODIE MD F R C S INC
911 ELECTRIC AVENUE
SEAL BEACH, CA90740-6315
 Phone: 562-594-8635
 Fax: 562-594-6009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for IAN D BRODIE MD F R C S INC

NPI Number 1164742557
LBN Legal business name IAN D BRODIE MD F R C S INC
Authorized official IAN BRODIE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2010
Last updated 02/01/2011 - About 15 years ago
Identifiers
CA License # A29773
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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