Individual
DR. BRIAN LYN IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C. D.A.B.C.O
Contact information
Practice address
520 N PROSPECT AVE, 201, REDONDO BEACH, CA 90277-3041
(310) 374-9710
(310) 374-6626
Mailing address
520 N PROSPECT AVE, 201, REDONDO BEACH, CA 90277-3041
(310) 374-9710
(310) 374-6626
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
DC19165
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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