Individual
DR. BRENT SEIJI IZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4053 LONE TREE WAY STE 200, ANTIOCH, CA 94531-6210
(925) 776-7725
Mailing address
4053 LONE TREE WAY, ANTIOCH, CA 94531-6210
(925) 776-7725
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1012919
CA
208600000X
Surgery Physician
35.088603
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C156246
STATE MEDICAL LICENSE
CA
Enumeration date
09/20/2006
Last updated
03/07/2023
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