BENJAMIN I BRODER

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

Dr BENJAMIN I BRODER is a male medical professional, specializing in Family Medicine. He graduated in 1997 from University Of Southern California School Of Medicine.

Contact

SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

1011 BALDWIN PARK BLVD
BALDWIN PARK
CA
917065806

Tel:

BENJAMIN I BRODER Information

Npi 1902977812
Pac Id 4587723556
Professional Enrollment Id I20081105000453
Last Name BRODER
First Name BENJAMIN
Middle Name I
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE
Graduation Year 1997
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Group Practice Pac Id 6002729175
Number Of Group Practice Members 8118
Line 1 Street Address 1011 BALDWIN PARK BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BALDWIN PARK
State CA
Zip Code 917065806
Phone Number
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
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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