Individual
MS. DANIELLE MARIE BRUYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Mailing address
7761 PACIFIC CIR, MIDWAY CITY, CA 92655-1415
(714) 488-9476
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51248
CA
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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