Individual
BRANDON POURAZIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
631 S BROOKHURST ST STE 213B, ANAHEIM, CA 92804
(714) 991-5700
Mailing address
631 S BROOKHURST ST STE 213B, ANAHEIM, CA 92804-3558
(714) 991-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
08/05/2019
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