Individual
BRYAN C OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4631 TELLER AVE STE 100, NEWPORT BEACH, CA 92660-8105
(949) 335-7500
(949) 387-1206
Mailing address
4631 TELLER AVE STE 100, NEWPORT BEACH, CA 92660-8105
(949) 335-7500
(949) 387-1206
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A80845
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5592138
—
CA
Enumeration date
01/10/2008
Last updated
06/13/2014
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