Provider Demographics
NPI:1215571575
Name:DAUZ-BROSNAN, JOSEL DIANE (ND)
Entity Type:Individual
Prefix:DR
First Name:JOSEL
Middle Name:DIANE
Last Name:DAUZ-BROSNAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11230 HORNET PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90715-1156
Mailing Address - Country:US
Mailing Address - Phone:562-481-5709
Mailing Address - Fax:
Practice Address - Street 1:16601 PACIFIC COAST HIGHWAY
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-1826
Practice Address - Country:US
Practice Address - Phone:562-794-9027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1112175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath