Individual
DR. WASHINGTON BRYAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11669 SANTA MONICA BLVD STE 110, LOS ANGELES, CA 90025-2929
(310) 228-3652
(310) 499-4177
Mailing address
11669 SANTA MONICA BLVD STE 110, LOS ANGELES, CA 90025-2929
(310) 228-3652
(310) 499-4177
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
61799
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
61799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A617991
—
CA
Enumeration date
02/25/2007
Last updated
03/15/2013
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