Provider Demographics
NPI:1194835926
Name:BRENT, GREGORY ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ALAN
Last Name:BRENT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:11301 WILSHIRE BLVD
Mailing Address - Street 2:ENDOCRINOLOGY AND DIABETES DIV 111D
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90073-1003
Mailing Address - Country:US
Mailing Address - Phone:310-268-3850
Mailing Address - Fax:310-268-4982
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:ENDOCRINOLOGY AND DIABETES DIV 111D
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-268-3850
Practice Address - Fax:310-268-4982
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG48551207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism