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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912004367 | NPPES |
| California | Other | C156246 | STATE MEDICAL LICENSE |
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