Organization
BRYAN E BRUNS MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN EDWARD BRUNS M.D. (PRESIDENT)
(858) 535-0091
Entity
Organization
Contact information
Practice address
9255 TOWNE CENTRE DR, SUITE 370, SAN DIEGO, CA 92121-3033
(858) 535-0091
Mailing address
PO BOX 511278, LOS ANGELES, CA 90051-7833
(866) 284-2771
(800) 334-1041
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
G29642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G296420
—
CA
Enumeration date
07/12/2006
Last updated
01/02/2013
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