Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | G47356 | CA |
Y | 207VE0102X | Reproductive Endocrinologist | G47356 | CA |
NPI | 1265558266 |
---|---|
Provider Name | Dr. Steven Andrew Brody |
First Address | La Jolla, CA 92037-5149 |
Second Address | San Diego, CA 92122-1013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 20/11/2008 |