# DR. BRIAN I WATANABE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831262203
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | G83423 | CA | — |
| 2086S0129X | Vascular Surgery Physician | G83423 | CA | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 04/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1417286980 | CORPORATION NPI | CA |
| 01 | — | CS338Y | MEDICARE PTAN | — |