Individual
BRYAN K NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 E CHAPMAN AVE, ORANGE, CA 92869-3204
(714) 628-3136
(714) 288-0705
Mailing address
2501 E CHAPMAN AVE, ORANGE, CA 92869-3204
(714) 628-3136
(714) 288-0705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A150404
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
09/04/2019
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