Individual
THEODORE CRUZ BRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(310) 401-0823
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(310) 401-0823
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
165106
CA
Other
Enumeration date
05/11/2017
Last updated
05/17/2023
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