BRIAN IM

RANCHO CUCAMONGA, CA
NPI1700186491
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA21262)
Enumeration Date2010-10-27
Last Update Date2026-03-06
Business Address
BRIAN IM PA
6417 HAVEN AVE STE 110
RANCHO CUCAMONGA, CA 91737-3804
Phone number: 909-941-2273
Mailing Address
BRIAN IM PA
6417 HAVEN AVE STE 110
RANCHO CUCAMONGA, CA 91737-3804
Phone number: 909-941-2273
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