DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MIA KRISTIN BROTZEL

MEDICARE: MIA KRISTIN BROTZEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1154214377
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIA KRISTIN BROTZEL
Provider Business Mailing Address
First Line : 100 N PACIFIC COAST HWY
Second Line :
City : EL SEGUNDO
State : CA
Zip : 90245-4359
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 N PACIFIC COAST HWY
Second Line :
City : EL SEGUNDO
State : CA
Zip : 90245-4359
Country : US
Telephone Number : 310-856-0800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2025
Last Update Date : 05/26/2026

Similar Medicare Providers

1306688916 — FAIZA MOHAMED AHMED
Practice Location Address:
100 N PACIFIC COAST HWY
EL SEGUNDO, CA
90245-4359
Practice Phone: 310-304-0532
Practice Fax:
1104754902 — TABITHA VENEGAS
Practice Location Address:
100 N PACIFIC COAST HWY
EL SEGUNDO, CA
90245-4359
Practice Phone: 424-296-0126
Practice Fax:
1043148851 — DEMEEDAH JAMES
Practice Location Address:
100 N PACIFIC COAST HWY
EL SEGUNDO, CA
90245-4359
Practice Phone: 424-296-0126
Practice Fax:
1821926676 — BRANDON GALEANO
Practice Location Address:
100 N PACIFIC COAST HWY
EL SEGUNDO, CA
90245-4359
Practice Phone: 424-296-0126
Practice Fax:
1295663060 — RAMYA SWATI
Practice Location Address:
100 N PACIFIC COAST HWY
EL SEGUNDO, CA
90245-4359
Practice Phone: 424-296-0126
Practice Fax:
1598693368 — HYATT HASSAN
Practice Location Address:
100 N PACIFIC COAST HWY
EL SEGUNDO, CA
90245-4359
Practice Phone: 424-296-0126
Practice Fax:

Directions to “ MIA KRISTIN BROTZEL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.