Individual
MRS. KIRA KEOMALANI BRANDONISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-3277
Mailing address
30441 SERVILLA PL, CASTAIC, CA 91384-4728
(818) 812-8155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
95026287
CA
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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