Individual
BRANDON PHILIP OBERO VINZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 ATLANTIC AVE, LONG BEACH, CA 90813-4565
(562) 624-1111
Mailing address
661 W 1ST ST, TUSTIN, CA 92780-2939
(714) 665-9890
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95011156
CA
Other
Enumeration date
09/22/2020
Last updated
01/31/2024
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