DR. WARREN RANDOLPH BROOKS III (NPI# 1346439155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346439155 |
| Entity Type | Individual |
| Full Name | DR. WARREN RANDOLPH BROOKS III |
| Credential | D.D.S |
| Practice Address |
8540 S Sepulveda Blvd Ste 1206 Los Angeles CA 90045-3819 |
| Practice Telephone | 3106416124 |
| Practice Fax Number | 3106415941 |
| Mailing Telephone | 3106416124 |
| Mailing Fax Number | 3106415941 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
033252 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619378379 | Warren Brooks | Counselor | 1509 Paseo Del Pueblo Sur, Taos, NM 87571-5922 | 2014-09-11 |
| Street Address |
8540 S SEPULVEDA BLVD STE 1206 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1346803897 | Jason Yoo Dds Inc | Dentist | 3660 Wilshire Blvd Ste 102, Los Angeles, CA 90010-2716 | 2019-04-19 |
| 1003384579 | David Cedeno Md Dds Professional Corporation | Dentist | 1127 Wilshire Blvd Ste 1510, Los Angeles, CA 90017-4006 | 2018-11-02 |
| 1043747827 | California Oral & Facial Surgery, Inc. | Dentist | 2610 W Olympic Blvd # 200, Los Angeles, CA 90006-2807 | 2017-05-11 |
| 1699168583 | Michael Issakharian | Dentist | 936 Crenshaw Blvd Ste 101, Los Angeles, CA 90019-1948 | 2015-03-16 |
| 1962829143 | California Oral & Facial Surgery, Inc. | Dentist | 2610 W Olympic Blvd Ste 200, Los Angeles, CA 90006-2807 | 2014-03-25 |
| 1447697107 | Samuel Liu | Dentist | 11600 Wilshire Blvd Ste 316, Los Angeles, CA 90025 | 2013-06-04 |
| 1215291059 | Steve Lim | Dentist | 722 S Los Angeles St Apt 415, Los Angeles, CA 90014-4507 | 2012-06-26 |
| 1952663080 | William H Noh | Dentist | 3640 Wilshire Blvd Apt 236, Los Angeles, CA 90010-2644 | 2012-06-14 |
| 1225322019 | Kevin Coppelson | Dentist | 10921 Wilshire Blvd Ste 912, Los Angeles, CA 90024 | 2011-06-08 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on DR. WARREN RANDOLPH BROOKS III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.