Individual
DR. BRANDON L JOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NAVAL HOSPITAL CAMP PENDLETON 200 MERCY CIRCLE, CAMP PENDLETON, CA 92055-5191
(760) 719-3675
Mailing address
PO BOX 555191, CAMP PENDLETON, CA 92055-5191
(760) 719-3675
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
CA
208D00000X
General Practice Physician
Primary
0101283141
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD0000
MILITARY PHYSICIANS
—
Enumeration date
06/01/2023
Last updated
07/11/2024
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