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Individual

MICHAEL BRANT-ZAWADZKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ONE HOAG DRIVE, NEWPORT BEACH, CA 92663-4162
(949) 764-5570
(949) 263-0473
Mailing address
DEPT LA 21555, PASADENA, CA 91185-1555
(949) 764-5570
(949) 263-1639

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
79828
CT
2085R0202X
Diagnostic Radiology Physician
Primary
G31971
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G319710
BLUE SHIELD
CA
05
00G319710
CA
Enumeration date
05/19/2006
Last updated
05/04/2026
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