Individual
BRIAN PETER DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
351 HOSPITAL RD, SUITE 415, NEWPORT BEACH, CA 92663-3509
(949) 612-8632
(310) 861-1478
Mailing address
351 HOSPITAL RD, SUITE 415, NEWPORT BEACH, CA 92663-3509
(949) 612-8632
(310) 861-1478
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A86239
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G862390
—
CA
Enumeration date
01/16/2008
Last updated
04/04/2017
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