Individual
DR. JAN D BRINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11776 MARIPOSA RD, HESPERIA, CA 92345-1622
(760) 956-2462
Mailing address
11776 MARIPOSA RD, HESPERIA, CA 92345-1622
(760) 956-2462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50186
KY
207R00000X
Internal Medicine Physician
A72678
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
A72078
CA
Other
Enumeration date
10/30/2007
Last updated
03/20/2024
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