Individual
BRYAN HAYTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30816 COAST HWY, LAGUNA BEACH, CA 92651-8136
(949) 499-4190
(949) 499-4698
Mailing address
30816 COAST HWY, LAGUNA BEACH, CA 92651-8136
(949) 499-4190
(949) 499-4698
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21015
CA
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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