Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 2009-01670 | NC |
NPI | 1679612907 |
---|---|
Provider Name | Dr. Todd V Brennan |
First Address | West Hollywood, CA 90048-2438 |
Second Address | West Hollywood, CA 90048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 27/02/2019 |