Brower, Russell Edan

Brower, Russell Edan is an sole proprietor health care provider with primary practice located at 639 Virginia Park Dr , Laguna Beach CA 92651-1950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brower, Russell Edan can be contacted via phone (949) 315-5528.

Contact Information

Primary practice address
639 Virginia Park Dr Laguna Beach CA 92651-1950
Phone: (949) 315-5528
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G55747 California

Profile Details

NPI number 1104482785
LBN Legal business name Brower, Russell Edan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2019
Last updated May 19th, 2019 - about 7 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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