Individual
BRYAN MATTHEW BRANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
665 CAMINO DE LOS MARES # 100, SAN CLEMENTE, CA 92673-2859
(949) 276-4141
Mailing address
665 CAMINO DE LOS MARES # 100, SAN CLEMENTE, CA 92673-2859
(949) 276-4141
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
167465
CA
390200000X
Student in an Organized Health Care Education/Training Program
201583
NC
Other
Enumeration date
04/30/2014
Last updated
07/01/2021
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