Individual
DIANA HELENA BROGDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 HILLCREST DR, HERMOSA BEACH, CA 90254-2740
(310) 265-3482
Mailing address
2120 HILLCREST DRIVE, HERMOSA BEACH, CA 90254-2740
(310) 265-3482
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95017842
CA
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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