Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | A101149 | CA |
NPI | 1306017421 |
---|---|
Provider Name | Dr. Audrey Denise Briscoe |
First Address | Downey, CA 90242 |
Second Address | Downey, CA 90242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/03/2008 |
Last Update Date | 20/10/2021 |