Individual provider · Type 1 NPI

Danielle Marie Bruyn, PA-C

Medical Physician Assistant · Los Angeles, CA

NPI number 1194140681 Active

Practice location

400 W 30th St
Los Angeles, CA 90007-3320

Call (213) 284-3200 Map

Mailing address

7761 Pacific Cir
Midway City, CA 92655-1415

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X51248 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1194140681

Danielle Marie Bruyn, PA-C's National Provider Identifier is 1194140681, issued on Feb 20, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 20, 2014.