Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | A81772 | CA |
NPI | 1013128297 |
---|---|
Provider Name | Dr. David Evan Bronstein |
First Address | Valencia, CA 91354-2130 |
Second Address | Lancaster, CA 93534-6219 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2007 |
Last Update Date | 13/10/2021 |