Provider Demographics
NPI:1679612907
Name:BRENNAN, TODD V (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:V
Last Name:BRENNAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8900 BEVERLY BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-2438
Mailing Address - Country:US
Mailing Address - Phone:310-423-2641
Mailing Address - Fax:
Practice Address - Street 1:8900 BEVERLY BLVD FL 2
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048
Practice Address - Country:US
Practice Address - Phone:310-423-7408
Practice Address - Fax:310-423-0234
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-01670204F00000X
CAA75140208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery