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Bryan Brandon
NPI 1548670482 · on the registry since 2014
Practice
- Address
- 665 Camino De Los Mares # 100
San Clemente, CA 92673 - Phone
- (949) 276-4141
Registry record
- Primary taxonomy
- 207YS0123X
207YS0123X
- Also registered as
- 390200000X
- Licence states on file
- NC, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California