| Jonathan Leonard Brand, M.d., A Medical Corporation | |
|
3630 E Imperial Hwy Lynwood CA 90262-2636 | |
| (310) 701-7830 | |
| (310) 645-5532 |
| Full Name | Jonathan Leonard Brand, M.d., A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 3630 E Imperial Hwy, Lynwood, California |
| Authorized Official Name and Position | Jonathan Leonard Brand (OWNER) |
| Authorized Official Contact | 3103066150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Leonard Brand, M.d., A Medical Corporation 4314 Marina City Dr Suite 1118cts Marina Del Rey CA 90292-5816 Ph: (310) 306-6150 | Jonathan Leonard Brand, M.d., A Medical Corporation 3630 E Imperial Hwy Lynwood CA 90262-2636 Ph: (310) 701-7830 |
| NPI Number | 1659641702 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 02/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659641702 | NPI | - | NPPES |
| 00G500451 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | G50045 (California) | Primary |
| 273R00000X | Psychiatric Unit | (California) | Secondary |
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