Individual
BRIAN HAACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
4638 PEPPERWOOD AVE, LONG BEACH, CA 90808-1071
(562) 822-6400
Mailing address
4638 PEPPERWOOD AVE, LONG BEACH, CA 90808-1071
(562) 822-6400
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
940111
—
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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