Individual
DR. KIRSTA LYNN BRUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
16776 BERNARDO CENTER DR STE 203, SAN DIEGO, CA 92128-2559
(619) 929-0818
Mailing address
14781 POMERADO RD STE 520, POWAY, CA 92064-2802
(619) 929-0818
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
067987
GA
207W00000X
Ophthalmology Physician
Primary
20A11590
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020A11590
—
CA
01
—
52599673 001
BCBS/GA
GA
Enumeration date
02/29/2008
Last updated
11/17/2023
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