Individual
BRIAN EARL BRISTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP-C
Contact information
Practice address
12900 PARK PLAZA DR, SUITE 150, CERRITOS, CA 90703-9329
(800) 499-2793
Mailing address
330 N CRESCENT HEIGHTS BLVD, LOS ANGELES, CA 90048-2204
(310) 795-7528
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP 22533
CA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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