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Individual

DR. BRENDAN FORREST CUMMINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 260-7000
(619) 260-7050
Mailing address
PO BOX 662110, ARCADIA, CA 91066-2110
(626) 447-0296
(626) 447-6057

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A66280
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A662800
CA
Enumeration date
06/30/2006
Last updated
06/27/2008
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