Individual
BRIAN JOHN O'LOUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 W WASHINGTON ST, SAN DIEGO, CA 92103-2005
(619) 295-9729
Mailing address
150 W WASHINGTON ST, SAN DIEGO, CA 92103-2005
(619) 295-9729
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A120064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A1200640
BC/BS OF CA
CA
05
—
0A1200640
—
CA
05
—
1972709087
—
CA
Enumeration date
06/25/2007
Last updated
04/12/2021
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