# BRYAN E BRUNS MD A MEDICAL CORP

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

## Provider details

- **NPI number:** 1427083963
- **Authorized official:** BRYAN EDWARD BRUNS M.D. (PRESIDENT)
- **Authorized official phone:** (858) 535-0091

## Contact information

- **Practice address:** 9255 TOWNE CENTRE DR, SUITE 370, SAN DIEGO, CA 92121-3033
- **Practice address phone:** (858) 535-0091
- **Mailing address:** PO BOX 511278, LOS ANGELES, CA 90051-7833
- **Mailing address phone:** (866) 284-2771
- **Mailing address fax:** (800) 334-1041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | G29642 | CA | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 01/02/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G296420 | — | CA |