# BRIZZIE MEDICAL INC

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

## Provider details

- **NPI number:** 1871990838
- **Authorized official:** DR. RON BERKLEY BRIZZIE II DO (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (760) 757-0222

## Contact information

- **Practice address:** 2741 VISTA WAY, SUITE 201, OCEANSIDE, CA 92054-9011
- **Practice address phone:** (760) 757-0222
- **Practice address fax:** (760) 754-5428
- **Mailing address:** 2741 VISTA WAY, SUITE 201, OCEANSIDE, CA 92054-9011
- **Mailing address phone:** (760) 757-0222
- **Mailing address fax:** (760) 754-5428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2014
- **Last updated:** 11/19/2014