Individual
CAREY L O'BRYAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 OLD NEWPORT BLVD, SUITE 200, NEWPORT BEACH, CA 92663-4248
(949) 548-9611
(949) 548-9958
Mailing address
415 OLD NEWPORT BLVD, SUITE 200, NEWPORT BEACH, CA 92663-4248
(949) 548-9611
(949) 548-9958
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A89153
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A89153
CA
207UN0901X
Nuclear Cardiology Physician
A89153
CA
Other
Enumeration date
10/18/2005
Last updated
03/07/2023
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