BRYAN MOTA

SAN BERNARDINO, CA
NPI1578970265
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  51622)
Enumeration Date2014-07-15
Last Update Date2014-11-18
Business Address
-- BRYAN MOTA
1800 MEDICAL CENTER DR SUITE 99
SAN BERNARDINO, CA 92411-1218
Phone number: 909-880-6400
Mailing Address
-- BRYAN MOTA
15842 ATHOL ST
FONTANA, CA 92335-4478
Phone number: