Healthcare Provider Details

I. General information

NPI: 1073547477
Provider Name (Legal Business Name): DENISE A BROWNLEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 WASHINGTON ST SUITE 600
SAN DIEGO CA
92103-2231
US

IV. Provider business mailing address

501 WASHINGTON ST SUITE 600
SAN DIEGO CA
92103-2231
US

V. Phone/Fax

Practice location:
  • Phone: 619-278-3300
  • Fax: 619-278-3310
Mailing address:
  • Phone: 619-278-3300
  • Fax: 619-278-3310

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG36006
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: