Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | RPS2012825 | CA |
NPI | 1073801544 |
---|---|
Provider Name | Dr. Cristine Elizabeth Bruzzone |
First Address | Rolling Hills Estates, CA 90274-3509 |
Second Address | Los Angeles, CA 90034-3710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2011 |
Last Update Date | 06/03/2018 |