GENE M BROTH MD INC
Urology at Sycamore Dr, Simi Valley, CA

License number
California CO26169
Category
Radiology
Type
Urology
Owner
Name: GENE M BROTH MD
Title: PRESIDENT
Phone: (818) 996-4242
Address
Address
2925 Sycamore Dr SUITE 201, Simi Valley, CA 93065
National Provider ID: 1578752986
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GENE M. BROTH, M.D., INC., A MEDICAL CORPORATION

2925 Sycamore Dr SUITE 201, Simi Valley, CA 93065

Status:
Inactive
Registration:
Mar 13, 1972
State ID:
C0647258
Business type:
Articles of Incorporation
President:
Gene M. Broth President, inactive
Agent:
Gene M Broth,Simi Valley, CA 93065 (Physical)

Urology licenses in California

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