Individual
BRIAN C ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, INC
Contact information
Practice address
361 HOSPITAL RD STE 124, NEWPORT BEACH, CA 92663-3521
(949) 631-0988
(949) 631-2504
Mailing address
PO BOX 4030, FULLERTON, CA 92834-4030
(714) 992-4444
(714) 879-9999
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G30212
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G302120
—
CA
Enumeration date
09/09/2005
Last updated
01/29/2008
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