Organization
JOSE C BRIONES, JR. M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE C BRIONES JR. M.D. (PRESIDENT)
(626) 914-4705
Entity
Organization
Contact information
Practice address
130 W ROUTE 66, SUITE 212, GLENDORA, CA 91740-6249
(626) 914-4705
(626) 852-0331
Mailing address
130 W ROUTE 66, SUITE 212, GLENDORA, CA 91740-6249
(626) 914-4705
(626) 852-0331
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C40152
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C401520
—
CA
Enumeration date
08/07/2007
Last updated
11/12/2013
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