Individual
PATRICIA BRENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17851 ARBOR LN, IRVINE, CA 92612-2801
(714) 238-0698
Mailing address
17851 ARBOR LN, IRVINE, CA 92612-2801
(714) 328-0698
(949) 786-5049
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G1104
CA
174400000X
Specialist
G41108
CA
207NS0135X
Procedural Dermatology Physician
Primary
G41108
CA
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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