Izu, Brent Seiji

Izu, Brent Seiji is an individual health care provider with primary practice located at 4053 Lone Tree Way Ste 200 , Antioch CA 94531-6210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Izu, Brent Seiji can be contacted via phone (925) 776-7725.

Contact Information

Primary practice address
4053 Lone Tree Way Ste 200 Antioch CA 94531-6210
Phone: (925) 776-7725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.088603 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X 1012919 California

Profile Details

NPI number 1912004367
LBN Legal business name Izu, Brent Seiji
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 7th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912004367 NPPES
California Other C156246 STATE MEDICAL LICENSE

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