Individual
DR. BRIAN MARK CHESNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 SUPERIOR AVE STE 300, NEWPORT BEACH, CA 92663-3641
(949) 574-4953
(949) 229-6297
Mailing address
PO BOX 1728, NEWPORT BEACH, CA 92659-0728
(949) 574-4953
(949) 229-6297
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C41393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330058517
TAX ID
CA
01
—
WC41393D
PTAN #
CA
Enumeration date
07/07/2005
Last updated
01/07/2026
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