Individual
BRIAN FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 W IMPERIAL HWY STE B, INGLEWOOD, CA 90303-6204
(626) 622-0384
Mailing address
1501 RAMONA AVE, SOUTH PASADENA, CA 91030-3734
(626) 622-0384
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E-3666
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E36660
—
CA
05
—
000E36661
—
CA
05
—
000E36662
—
CA
05
—
000E36663
—
CA
Enumeration date
08/31/2006
Last updated
09/12/2022
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