Individual
BRIAN C COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18785 BROOKHURST ST STE 200, FOUNTAIN VALLEY, CA 92708-7300
(714) 378-5330
(714) 378-5320
Mailing address
PO BOX 2218, SUISUN CITY, CA 94585-5218
(657) 241-3600
(657) 241-7708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A71497
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00621279
MEDICARE RAILROAD
CA
Enumeration date
05/23/2006
Last updated
07/21/2023
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