# JILL BROFFMAN, M.D., INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407881923
- **Authorized official:** DR. JILL DIANE BROFFMAN M.D. (PRESIDENT)
- **Authorized official phone:** (310) 652-4900

## Contact information

- **Practice address:** 150 N ROBERTSON BLVD, SUITE 222, BEVERLY HILLS, CA 90211-2142
- **Practice address phone:** (310) 652-4900
- **Practice address fax:** (310) 652-4902
- **Mailing address:** 150 N ROBERTSON BLVD, SUITE 222, BEVERLY HILLS, CA 90211-2142
- **Mailing address phone:** (310) 652-4900
- **Mailing address fax:** (310) 652-4902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 09/10/2007