Individual
BRYAN LOUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR # MC8756, SAN DIEGO, CA 92103-1911
(510) 437-4800
Mailing address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
197471
CA
2085R0202X
Diagnostic Radiology Physician
Primary
197471
CA
Other
Enumeration date
03/21/2023
Last updated
12/07/2024
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