Madden, Brian D

Madden, Brian D is an individual health care provider with primary practice located at 2021 Santa Monica Blvd Ste 245E , Santa Monica CA 90404-2132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Madden, Brian D can be contacted via phone (310) 829-8975.

Contact Information

Primary practice address
2021 Santa Monica Blvd Ste 245E Santa Monica CA 90404-2132
Phone: (310) 829-8975
Fax: (424) 291-4108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A70323 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X A70323 California

Profile Details

NPI number 1780639914
LBN Legal business name Madden, Brian D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jan 23rd, 2024 - about last year

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 1780639914 NPPES
California MEDICAID GR0091750

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