Individual
BRIAN J. ACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2865 ATLANTIC AVE, SUITE 202, LONG BEACH, CA 90806-1740
(562) 595-4444
(562) 492-1157
Mailing address
2865 ATLANTIC AVE, SUITE 202, LONG BEACH, CA 90806-1740
(562) 595-4444
(562) 492-1157
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G35691
CA
2086S0127X
Trauma Surgery Physician
G35691
CA
2086S0129X
Vascular Surgery Physician
G35691
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G356910
—
CA
Enumeration date
07/13/2006
Last updated
01/09/2013
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