Provider Demographics
NPI:1326871161
Name:PARTOVY, BRANDON D (DC)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:D
Last Name:PARTOVY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 N RODEO DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-3210
Mailing Address - Country:US
Mailing Address - Phone:310-462-0091
Mailing Address - Fax:
Practice Address - Street 1:9200 W SUNSET BLVD STE 170
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90069-3615
Practice Address - Country:US
Practice Address - Phone:424-371-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37006111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty