Individual
BRIAN WILLIAM TATOMIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29455 VISTA PLAZA DR, LAGUNA NIGUEL, CA 92677-1827
(949) 212-6679
(866) 897-0799
Mailing address
29455 VISTA PLAZA DR, LAGUNA NIGUEL, CA 92677-1827
(949) 212-6679
(866) 897-0799
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
1699100933
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699100933
NPI
CO
Enumeration date
11/16/2014
Last updated
11/16/2014
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