Provider Demographics
NPI:1588712897
Name:SHURMAN, BRETT DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:DAVID
Last Name:SHURMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12401 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-1085
Mailing Address - Country:US
Mailing Address - Phone:310-979-7335
Mailing Address - Fax:310-979-3101
Practice Address - Street 1:12401 WILSHIRE BLVD
Practice Address - Street 2:SUITE 303
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-1085
Practice Address - Country:US
Practice Address - Phone:310-979-7335
Practice Address - Fax:310-979-3101
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAO 546102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry