Individual
BRIAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2720 N HARBOR BLVD STE 210, FULLERTON, CA 92835-2626
(714) 446-5192
Mailing address
PO BOX 5099, ORANGE, CA 92863-5099
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
54999
CA
Other
Enumeration date
10/18/2017
Last updated
01/01/2022
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