| Organization Name: | BROOKSHIRE PARTNERS |
| NPI Number: | 1003952037 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STANLEY DILLER (OWNER) |
| Mailing Address: | 11500 Dolan Ave Downey |
| State: | CA US |
| Postal Code: | 902414900 |
| Phone Number: | 5628692416 |
| Fax Number: | 5628694986 |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 07/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1800X |
| License Number: | 191571590 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Corporate Health |
| Taxonomy Definition: | |