Individual
BRIAN VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
1368 JACARANDA CIR, ARCADIA, CA 91006-6354
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA55668
CA
Other
Enumeration date
06/18/2018
Last updated
11/14/2025
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