Individual
BRANDON BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PPS
Contact information
Practice address
6625 LA PALMA AVE, BUENA PARK, CA 90620-2859
(714) 228-3100
Mailing address
705 OCEANVIEW DR, FULLERTON, CA 92832-1124
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LEP4092
CA
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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