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Individual

BRYAN OLMEDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14632 YORBA ST STE B, TUSTIN, CA 92780-2554
(714) 714-0780
Mailing address
14632 YORBA ST STE B, TUSTIN, CA 92780-2554
(714) 714-0780

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
CA

Other

Enumeration date
05/06/2025
Last updated
06/24/2025
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