Doctor Name: | BRIANA PORTER |
NPI Number: | 1023497195 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 14102 S. Hillford Ave Compton, CA - 90222 |
Business Phone Number: | 3103032298 |
Business Fax Number: | |
Mailing Address: | 14102 S Hillford Ave, COMPTON |
State: | CA |
Postal Code: | 902223618 |
Phone Number: | 3103032298 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2015 |
NPI Last Update Date: | 05/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Emergency Care |
Taxonomy Definition: |