Individual
DR. BRIAN ROBERT CHAMPAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 E 4TH ST, SANTA ANA, CA 92705-3910
(530) 574-0548
Mailing address
1900 E 4TH ST, SANTA ANA, CA 92705-3910
(888) 988-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
144532
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
02/10/2022
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