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Bryan Matthew Brandon
Facial Plastic Surgery Physician in San Clemente, California
NPI 1548670482

Bryan Matthew Brandon is a Facial Plastic Surgery Physician based in San Clemente, CA and is specialized in Facial Plastic Surgery. Bryan Matthew Brandon practices in San Clemente, CA. The NPI Number for Bryan Matthew Brandon is 1548670482 and holds a License No. 201583 (California).

The current practice location address for Bryan Matthew Brandon is 665 Camino De Los Mares # 100, San Clemente, CA and can be reached out via phone at 949-276-4141.

Location: 665 Camino De Los Mares # 100, San Clemente, CA, 92673-2859
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548670482
Provider Name
Bryan Matthew Brandon
Credential
Provider Entity Type
Individual
Gender
Male
Address
665 Camino De Los Mares # 100, San Clemente, CA, 92673-2859
Phone Number
949-276-4141
Fax Number
Provider Enumeration Date
04/30/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
665 Camino De Los Mares # 100
City
San Clemente
State
California
Zip
92673-2859
Phone Number
949-276-4141
Fax Number
person
Provider Business Mailing Address Details
Address
665 Camino De Los Mares # 100
City
San Clemente
State
California
Zip
92673-2859
Phone Number
949-276-4141
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
207YS0123X
License No.
167465 (California)
Definition
An otolaryngologist who specializes in facial plastic surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
201583 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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