Individual
JERRY R BRUNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 OUTLET CENTER DR, SUITE220, OXNARD, CA 93036-0663
(805) 388-8330
(805) 388-8030
Mailing address
PO BOX 201, CAMARILLO, CA 93011-0201
(805) 388-8330
(805) 388-8030
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A41569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A41569
LICENSE
CA
Enumeration date
08/31/2006
Last updated
09/05/2014
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