Erica Rutman Brown, PA-C
Individual provider Active NPI Physician Assistant · Rolling Hills Estates, CA
NPI 1508065111 · NPPES record last updated Nov 7, 2014
Key facts
- NPI
- 1508065111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA19248 (CA)
- Practice address
- 550 Deep Valley Dr
Suite 287
Rolling Hills Estates, CA 90274-3664 - Phone
- (310) 541-7800
- Fax
- (310) 541-7808
- NPI assigned
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA19248 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palos Verdes Skin Surgery Ctr Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA19248 | CA | Yes |
Addresses
Primary practice location
550 Deep Valley Dr
Suite 287
Rolling Hills Estates, CA 90274-3664
Mailing address
550 Deep Valley Dr
Suite 287
Rolling Hills Estates, CA 90274-3664
Phone (310) 541-7800
Other providers in Rolling Hills Estates, CA
- Steven Bik
- Kelly Bogdanovich
- Robert Borodkin
- Donald Jeffrey Boss
- Gerald George Bottomley
- Burping Babies
- Carenetla Inc.
- Maribel Castro
- Carla A Cavalier Bowdoin
- Michael Chan
All providers in Rolling Hills Estates, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.