Dr MICHAEL S BROUKHIM is a male medical professional, specializing in Cardiovascular Disease (cardiology). He graduated in 2006 from Boston University School Of Medicine.
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
2001 SANTA MONICA BLVD
SUITE 280W
SANTA MONICA
CA
904042172
Tel: 3108297678
| Npi | 1609064880 |
| Pac Id | 9335387794 |
| Professional Enrollment Id | I20130524000624 |
| Last Name | BROUKHIM |
| First Name | MICHAEL |
| Middle Name | S |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION |
| Group Practice Pac Id | 0840548624 |
| Number Of Group Practice Members | 164 |
| Line 1 Street Address | 2001 SANTA MONICA BLVD |
| Line 2 Street Address | SUITE 280W |
| Marker Of Address Line 2 Suppression | |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 904042172 |
| Phone Number | 3108297678 |
| Hospital Affiliation Ccn 1 | 050290 |
| Hospital Affiliation Lbn 1 | PROVIDENCE SAINT JOHN'S HEALTH CENTER |
| Hospital Affiliation Ccn 2 | 050625 |
| Hospital Affiliation Lbn 2 | CEDARS-SINAI MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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