# BRIAN O'CARROLL, D.P.M., INC.

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

## Provider details

- **NPI number:** 1427351535
- **Authorized official:** DR. BRIAN DAVID O'CARROLL DPM (OWNER)
- **Authorized official phone:** (805) 481-9100

## Contact information

- **Practice address:** 911 OAK PARK BLVD, STE 106, PISMO BEACH, CA 93449-3406
- **Practice address phone:** (805) 481-9100
- **Practice address fax:** (805) 481-9199
- **Mailing address:** 911 OAK PARK BLVD, STE 106, PISMO BEACH, CA 93449-3406
- **Mailing address phone:** (805) 481-9100
- **Mailing address fax:** (805) 481-9199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4758 | CA | Yes |

## Other

- **Enumeration date:** 12/10/2010
- **Last updated:** 03/15/2012