Provider Demographics
NPI:1447382395
Name:BROOKINS, CEDRICK ZURIC
Entity Type:Individual
Prefix:
First Name:CEDRICK
Middle Name:ZURIC
Last Name:BROOKINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14435 PLUMMER ST UNIT 16
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-1194
Mailing Address - Country:US
Mailing Address - Phone:818-895-9960
Mailing Address - Fax:
Practice Address - Street 1:14435 PLUMMER ST UNIT 16
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-1194
Practice Address - Country:US
Practice Address - Phone:818-895-9960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor