Individual
BRANDON MCGUCKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13001 RAMONA BLVD STE 1, IRWINDALE, CA 91706-3752
(626) 254-5000
Mailing address
18819 E ARMSTEAD ST, AZUSA, CA 91702-4806
(626) 391-9433
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619172095
PACIFIC CLINICS
CA
Enumeration date
03/25/2016
Last updated
03/25/2016
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