| Doctor Name: | DR. JEFFREY BRODY |
| NPI Number: | 1013114768 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | PSY5541 |
| Business Practice Address: | 9449 Imperial Hwy A-206 Downey, CA - 902422814 |
| Business Phone Number: | 5626572010 |
| Business Fax Number: | 5626572779 |
| Mailing Address: | 4260 Via Alondra, PALOS VERDES ESTATES |
| State: | CA |
| Postal Code: | 902741545 |
| Phone Number: | 3109402176 |
| Fax Number: | 5626572779 |
| NPI Enumeration Date: | 06/27/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | PSY5541 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |