Individual
DR. BRIAN J LOVELESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
795 E 2ND ST, SUITE 5, POMONA, CA 91766-2007
(909) 865-2565
(909) 865-2599
Mailing address
309 E 2ND ST, SUITE 2215 OR 2255, POMONA, CA 91766-1854
(909) 469-8332
(909) 706-3780
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
20A8555
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A8555
CA MEDICAL LICENSE
CA
01
—
BT751V
MEDICARE NORTHERN CALIF
CA
01
—
BT751X
MEDICARE SOUTHERN CALIF
CA
Enumeration date
06/14/2006
Last updated
12/03/2021
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