Healthcare Provider Details

I. General information

NPI: 1639756679
Provider Name (Legal Business Name): DAVID MENDEL BRUSS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20911 EARL ST STE 340
TORRANCE CA
90503-4355
US

IV. Provider business mailing address

20911 EARL ST STE 340
TORRANCE CA
90503-4355
US

V. Phone/Fax

Practice location:
  • Phone: 310-731-2009
  • Fax:
Mailing address:
  • Phone: 310-731-2009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA207891
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: