Individual
BRANDON MICHAEL HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1127 WILSHIRE BLVD STE 805, LOS ANGELES, CA 90017-3909
(213) 977-1176
(213) 977-0668
Mailing address
801 S. MAIN ST., SUITE 201, CORONA, CA 92882
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
3031-320
WI
208800000X
Urology Physician
Primary
A147715
CA
208800000X
Urology Physician
MD 60491830
WA
Other
Enumeration date
03/22/2011
Last updated
06/26/2023
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