Individual
BRYAN EDWARD BRUNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1759 BERYL ST, SAN DIEGO, CA 92109-2214
(858) 535-0091
(858) 535-0080
Mailing address
1759 BERYL ST, SAN DIEGO, CA 92109-2214
(858) 442-8145
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G-29642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G296420
—
CA
Enumeration date
07/12/2006
Last updated
12/12/2024
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