Brooks, Marlon

Brooks, Marlon is an sole proprietor health care provider with primary practice located at 10515 Balboa Blvd Suite 160, Granada Hills CA 91344-6343. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is his primary health care specialty. Brooks, Marlon can be contacted via phone (818) 831-6611.

Contact Information

Primary practice address
10515 Balboa Blvd Suite 160 Granada Hills CA 91344-6343
Phone: (818) 831-6611
Fax: (818) 831-3836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X G71729 California
Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery 207VF0040X G71729 California

Profile Details

NPI number 1346278587
LBN Legal business name Brooks, Marlon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2006
Last updated Nov 14th, 2014 - about 12 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 1346278587 NPPES
California MEDICAID 00G717291

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