Individual
DR. BRIAN MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 PARK CREEK DR, CLOVIS, CA 93611-4426
(559) 326-2800
Mailing address
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033-1029
(408) 786-6549
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A166123
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2018
Last updated
09/05/2024
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