| Organization Name: | IAN D BRODIE MD F R C S INC |
| NPI Number: | 1164742557 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IAN D BRODIE (OWNER) |
| Mailing Address: | 911 Electric Avenue Seal Beach |
| State: | CA US |
| Postal Code: | 907406315 |
| Phone Number: | 5625948635 |
| Fax Number: | 5625946009 |
| NPI Enumeration Date: | 06/08/2010 |
| NPI Last Update Date: | 02/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 305R00000X |
| License Number: | A29773 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Preferred Provider Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |