Individual
BRYAN ERIC ANAMURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-2986
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA62003
CA
363AM0700X
Medical Physician Assistant
PA62003
CA
363AS0400X
Surgical Physician Assistant
PA62003
CA
Other
Enumeration date
06/25/2021
Last updated
02/29/2024
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