Individual
BRIAN KEITH CONSTANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
82013 DOCTOR CARREON BLVD STE H, INDIO, CA 92201-5832
(760) 610-8398
(442) 300-2925
Mailing address
18200 YORBA LINDA BLVD, SUITE 401, YORBA LINDA, CA 92886-4056
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E3493
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E34930
—
CA
01
—
480023833
RAILROAD MEDICARE
CA
Enumeration date
06/03/2006
Last updated
04/16/2025
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