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Contact Information

BRYAN M BRANDON
665 CAMINO DE LOS MARES # 100
SAN CLEMENTE, CA92673-2859
 Phone: 949-276-4141
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Facial Plastic Surgery

207YS0123X 04 Physician/Otolaryngology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BRYAN M BRANDON · (Male)

NPI # 1548670482
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2014
Last updated 07/01/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 167465
  • NC License # 201583
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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