Individual
BRANDON LEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8240 RUSH ST APT E, ROSEMEAD, CA 91770-3662
(626) 524-1837
Mailing address
8240 RUSH ST APT E, ROSEMEAD, CA 91770-3662
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51763
CA
Other
Enumeration date
07/14/2014
Last updated
05/08/2024
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