Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | C27484 | CA |
NPI | 1558396895 |
---|---|
Provider Name | Dr. H. George Brennan |
First Address | Los Angeles, CA 90049-5131 |
Second Address | Newport Beach, CA 92660-7601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 08/07/2007 |