Bruning, Madeleine Distaso
Bruning, Madeleine Distaso is an individual health care provider with primary practice located at 1200 N State St Ird 116, Los Angeles CA 90089-2211. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Bruning, Madeleine Distaso can be contacted via phone (323) 226-5609.Contact Information
Primary practice address
1200 N State St Ird 116
Los Angeles CA 90089-2211
Phone: (323) 226-5609
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 269108 | California |
Profile Details
| NPI number | 1720383391 |
|---|---|
| LBN Legal business name | Bruning, Madeleine Distaso |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2011 |
| Last updated | Jan 12th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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