Individual ProviderDawn L BrunerPediatricsAllopathic & Osteopathic PhysiciansPractice Address13132 Newport Ave, 100, Tustin, CA 92780-3429(714) 565-7960PECOS EnrollmentBased on the most recent information from CMS, provider Dawn L Bruner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1124097431Provider TypeIndividualFull NameBruner, Dawn LTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/17/2006Last Updated1/4/2011Contact InformationPractice LocationPractice Address13132 Newport Ave, 100, Tustin, CA 92780-3429Phone(714) 565-7960Fax(714) 565-7982Mailing LocationMailing Address13132 Newport Ave, 100, Tustin, CA 92780-3429Phone(714) 565-7960Fax(714) 565-7982Provider TaxonomiesCodeDescriptionLicenseCode2080A0000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseG42631CaliforniaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicenseA42631California