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PATRICIA ARDEN BROTMAN M.D.
>> Dermatology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1306871926
Individual Registrant: PATRICIA ARDEN BROTMAN M.D.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
15944 LOS SERRANOS COUNTRY CLUB DR STE 180 CHINO HILLS, CA 91709-3990 US
Tel: 909-393-3393 Fax: 909-597-7009
Tel: 909-393-3393 Fax: 909-597-7009
Contact information for business:
15944 LOS SERRANOS COUNTRY CLUB DR STE 180 CHINO HILLS, CA 91709-3990 US
Tel: 909-393-3393 Fax: 909-597-7009
Tel: 909-393-3393 Fax: 909-597-7009
Registration Information:
NPI: 1306871926
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207N00000X | Allopathic & Osteopathic Physicians Dermatology | CA | G69097 |
| N | 207P00000X | Allopathic & Osteopathic Physicians Emergency Medicine | CA | G69097 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00G690970 | CA | 05 |
