Individual
BRIAN ALLAN GIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
39355 CALIFORNIA ST, SUITE 103, FREMONT, CA 94538-1447
(510) 744-2010
(510) 744-2015
Mailing address
39355 CALIFORNIA ST, SUITE 103, FREMONT, CA 94538-1447
(510) 744-2010
(510) 744-2015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13125T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0022890
—
CA
Enumeration date
08/01/2006
Last updated
11/14/2007
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