Brennan, Kathleen Marie

Brennan, Kathleen Marie is an individual health care provider with primary practice located at 200 Medical Plz Ste 430, Los Angeles CA 90095-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Brennan, Kathleen Marie can be contacted via phone (310) 794-7274.

Contact Information

Primary practice address
200 Medical Plz Ste 430 Los Angeles CA 90095-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X A94984 California

Profile Details

NPI number 1306033741
LBN Legal business name Brennan, Kathleen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2007
Last updated Feb 12th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306033741 NPPES
California MEDICAID 00A949840

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