BRIAN IM

CERRITOS, CA
NPI1700186491
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA21262)
Enumeration Date2010-10-27
Last Update Date2023-09-21
Business Address
BRIAN IM
17811 CECELIA PL
CERRITOS, CA 90703-8712
Phone number: 562-754-0828
Mailing Address
BRIAN IM
17811 CECELIA PL
CERRITOS, CA 90703-8712
Phone number: 562-754-0828
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