Organization
PATRICIA A BROTMAN M.D. A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ARDEN BROTMAN M.D. (PRESIDENT, SECRETARY, C.F.O)
(909) 393-3393
Entity
Organization
Contact information
Practice address
15944 LOS SERRANOS COUNTRY CLUB DR STE 180, CHINO HILLS, CA 91709-3990
(909) 393-3393
(909) 597-7009
Mailing address
15944 LOS SERRANOS COUNTRY CLUB DR STE 180, CHINO HILLS, CA 91709-3990
(909) 393-3393
(909) 597-7009
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G69097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G690970
—
CA
Enumeration date
07/12/2006
Last updated
08/20/2012
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