Fogel, Brent Linden
Fogel, Brent Linden is an individual health care provider with primary practice located at 300 Medical Plaza Suite B200 , Los Angeles CA 90095. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Fogel, Brent Linden can be contacted via phone (310) 794-1195.Contact Information
Primary practice address
300 Medical Plaza Suite B200
Los Angeles CA 90095
Phone: (310) 794-1195
Fax: (310) 794-7491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2084P0005X | A90493 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A90493 | California |
Profile Details
| NPI number | 1629289178 |
|---|---|
| LBN Legal business name | Fogel, Brent Linden |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2007 |
| Last updated | Jan 16th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629289178 | NPPES |
| California | MEDICAID | 00A904930 |
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