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Individual

DR. BRIAN N EVANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7325 MEDICAL CENTER DR STE 304, WEST HILLS, CA 91307
(818) 665-8535
Mailing address
PO BOX 27206, LOS ANGELES, CA 90027-0206
(213) 385-0675
(213) 365-6429

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A70983
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1073052262
NPI TYPE 2
CA
01
1932159977
NPI TYPE 1
CA
01
814203035
TAX ID
CA
Enumeration date
05/11/2006
Last updated
01/13/2023
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