BRIAN BERNARD PONCE

LONG BEACH, CA
NPI1114270964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2012-10-17
Last Update Date2012-10-17
Business Address
-- BRIAN BERNARD PONCE
5150 E PACIFIC COAST HWY STE 100
LONG BEACH, CA 90804-3394
Phone number: 562-490-7600
Mailing Address
-- BRIAN BERNARD PONCE
5150 E PCH STE 100
LONG BEACH, CA 90804-3394
Phone number: