GARRY S BRODY


Address: 1510 San Pablo Street, Suite 514, Los Angeles, CA 90033-5324
Phone: 3234425907

GARRY S BRODY (NPI# 1558390203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558390203
Entity Type Individual
Full Name GARRY S BRODY
Credential MD
Practice Address 1510 San Pablo Street
Suite 514
Los Angeles
CA 90033-5324
Practice Telephone 3234425907
Practice Fax Number 3234426020
Mailing Telephone 3234425907
Mailing Fax Number 3234426020
Enumeration Date 2006-07-02
Last Update Date 2012-03-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
C30613 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00C306130 05

Office Location

Street Address 1510 SAN PABLO STREET
SUITE 514
City LOS ANGELES
State CA
Zip Code 90033-5324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457311797 Heidi Lee Frankel Surgery 1510 San Pablo Street, Los Angeles, CA 90033-5320 2006-03-23
1689945073 Nicolas David Hamelin Plastic Surgery 1510 San Pablo Street, Los Angeles, CA 90033-5320 2012-01-18
1730461690 James Kennedy Plastic Surgery 1510 San Pablo Street, Los Angeles, CA 90033-5324 2011-09-15
1588979942 Regan James Berg Surgery 1510 San Pablo Street, Los Angeles, CA 90033-5320 2010-08-10
1922290519 Jennifer Ann Smith Surgery 1510 San Pablo Street, Los Angeles, CA 90033-5320 2007-08-16
1710179882 Juliette M Zelada Surgery 1510 San Pablo Street, Suite 514, Los Angeles, CA 90033-5324 2007-08-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376165050 Noa Yee Student in an Organized Health Care Education/Training Program 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 2020-05-15
1629690144 Monica Lopez Respiratory Therapist, Registered 1251 Marengo St, Los Angeles, CA 90033 2020-05-07
1649890401 Antonio Hernandez Saenz Student in an Organized Health Care Education/Training Program 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 2020-04-22
1417585100 Kelsey Grace Shea Student in an Organized Health Care Education/Training Program 1200 N State St Ird 112, Los Angeles, CA 90033 2020-03-30
1891322780 Carolyn Kan Student in an Organized Health Care Education/Training Program 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 2020-03-23
1902445786 Maury M Hopkins Registered Nurse 1883 Marengo Street, Los Angeles, CA 90033 2019-12-27
1982259792 Beverly Austin Mccabe Registered Nurse 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 2019-08-08
1093369399 Christine Yoon Pharmacist 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 2019-07-25
1073075339 Johanna Keller Student in an Organized Health Care Education/Training Program La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 2019-04-04
1386115137 Sonya Lorain Earley Physician Assistant 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 2018-12-05
Find all providers in zip 90033

Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447560289 Tadeusz Wellisz Surgery 536 South Rimpau Blvd, Los Angeles, CA 90020 2010-10-14
1801971478 Kyoung Chol Kim Surgery 2970 W Olympic Blvd, Suite 204 & 205, Los Angeles, CA 90006-2518 2006-10-25
1770006538 Debra Ann Wallace Surgery 1100 N State Street, Clinic Tower A6a231a, Los Angeles, CA 90033 2017-07-24
1003369380 Integrative Medical Group, Inc Surgery 2200 W 3rd St, Suite 120 A, Los Angeles, CA 90057-1932 2016-08-03
1841659042 Ryan Spivak Integrative Plastic Surgery Inc Surgery 2200 W 3rd St, Suite 120a, Los Angeles, CA 90057-1932 2016-02-16
1548659170 Libby Wilson Md Inc Surgery 403 W Adams Blvd, Los Angeles, CA 90007-2664 2015-01-20
1811330566 Ginger C Slack Surgery 200 Ucla Medical Plz Ste 460, Los Angeles, CA 90095-5224 2013-04-12
1265705925 Gary Motykie, M.d. A Medical Corporation Surgery 9201 W Sunset Blvd, Suite Gf-1, Los Angeles, CA 90069-3701 2012-02-10
1851607642 Mark L Labowe M D A Prof Corp Surgery 12301 Wilshire Blvd, Suite 325, Los Angeles, CA 90025-1007 2010-08-31
1699003731 Jeffrey D Hoefflin Md Inc Surgery 9201 W Sunset Blvd, Ste.#805, Los Angeles, CA 90069-3701 2009-12-01
Find all providers in LOS ANGELES

Competitor

Search similar providers

City LOS ANGELES
Zip Code 90033

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Dataset Information

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.

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