Provider Demographics
NPI:1861521478
Name:BRANDEIS, EMMANUEL (MD)
Entity type:Individual
Prefix:DR
First Name:EMMANUEL
Middle Name:
Last Name:BRANDEIS
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 1:292 S LA CIENEGA BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3337
Mailing Address - Country:US
Mailing Address - Phone:310-855-7504
Mailing Address - Fax:310-855-7514
Practice Address - Street 1:292 S LA CIENEGA BLVD
Practice Address - Street 2:100
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3330
Practice Address - Country:US
Practice Address - Phone:310-855-7504
Practice Address - Fax:310-855-7514
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC38684207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology