Healthcare Provider Details

I. General information

NPI: 1952861007
Provider Name (Legal Business Name): BROOKE DURNIL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2019
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32348 PERIGORD RD
WINCHESTER CA
92596-9065
US

IV. Provider business mailing address

32348 PERIGORD RD
WINCHESTER CA
92596-9065
US

V. Phone/Fax

Practice location:
  • Phone: 858-354-1314
  • Fax:
Mailing address:
  • Phone: 858-354-1314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: