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JILL BROFFMAN M.D. INC. NPI 1407881923


NPI Information

NPI: 1407881923
Provider Name: JILL BROFFMAN, M.D., INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
150 N ROBERTSON BLVD
SUITE 222
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 652-4900
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JILL BROFFMAN, M.D., INC. is a general practice in Beverly Hills, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JILL BROFFMAN, M.D., INC. NPI is 1407881923. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 N ROBERTSON BLVD
SUITE 222
BEVERLY HILLS, CA
ZIP 90211-142
Phone: (310) 652-4900
Fax: (310) 652-4902

The provider's authorized official is Jill Diane Broffman .
The authorized official title is President and has the following contact phone number (310) 652-4900.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 9/10/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W19006MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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