| Organization Name: | BROOKDALE MEDICAL CENTER INC |
| NPI Number: | 1265572903 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN BARKODAR (PRESIDENT) |
| Mailing Address: | 2809 Tweedy Blvd South Gate |
| State: | CA US |
| Postal Code: | 90280 |
| Phone Number: | 3235679909 |
| Fax Number: | 3235679929 |
| NPI Enumeration Date: | 02/08/2007 |
| NPI Last Update Date: | 12/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OA44541 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |