Individual
DR. GARY BRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5020 CAMPUS DR, NEWPORT BEACH, CA 92660-2120
(949) 294-2539
Mailing address
5020 CAMPUS DR, NEWPORT BEACH, CA 92660-2120
(949) 294-2539
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY16019
CA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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