# BRIAN K MACHIDA MD A MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003108291
- **Authorized official:** DR. BRIAN K MACHIDA M.D (DOCTOR)
- **Authorized official phone:** (626) 338-4453

## Contact information

- **Practice address:** 1250 S SUNSET AVE, \#206, WEST COVINA, CA 91790-3961
- **Practice address phone:** (626) 338-4453
- **Practice address fax:** (626) 338-2556
- **Mailing address:** 1250 S SUNSET AVE, \#206, WEST COVINA, CA 91790-3961
- **Mailing address phone:** (626) 338-4453
- **Mailing address fax:** (626) 338-2556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | G52616 | CA | Yes |

## Other

- **Enumeration date:** 05/06/2011
- **Last updated:** 12/19/2011