Brandon, Bryan Matthew

Brandon, Bryan Matthew is an individual health care provider with primary practice located at 665 Camino De Los Mares # 100 , San Clemente CA 92673-2859. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Brandon, Bryan Matthew can be contacted via phone (949) 276-4141.

Contact Information

Primary practice address
665 Camino De Los Mares # 100 San Clemente CA 92673-2859
Phone: (949) 276-4141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 201583 North Carolina
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 167465 California

Profile Details

NPI number 1548670482
LBN Legal business name Brandon, Bryan Matthew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2014
Last updated Jul 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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