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Organization

BRYAN CASSIM DOO, M.D., A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRYAN CASSIM DOO M.D. (PRESIDENT)
(951) 278-5590
Entity
Organization

Contact information

Practice address
9209 COLIMA RD, SUITE 4500, WHITTIER, CA 90605-1800
(951) 278-5590
(951) 272-9924
Mailing address
P.O. BOX 77790, CORONA, CA 92877-0126
(951) 278-5590
(951) 272-9924

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A65648
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A656480
CA
Enumeration date
05/11/2007
Last updated
08/04/2011
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