Brian Earl Bristol ANP-C

NPI 1265777981 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1265777981
Gender Male
Enumeration Date 12/06/2012
Last Updated 12/06/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
12900 PARK PLAZA DR
SUITE 150
CERRITOS CA, 90703-9329, US
Phone (800) 499-2793
Fax
Business Location
330 N CRESCENT HEIGHTS BLVD
LOS ANGELES CA, 90048-2204, US
Phone (310) 795-7528
Fax
Toxanomy
Taxonomy Code 363L00000X
License State California
License Number NP 22533
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According to our database, Brian Earl Bristol ANP-C NPI is 1265777981, taxonomy code is 363L00000X and license number is NP 22533, license state is located at California. Brian Earl Bristol ANP-C physically located at 12900 Park Plaza Dr, Cerritos CA, 90703-9329. NPI Number Brian Earl Bristol ANP-C has the Individual type.

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1265777981 NPI number is provided on an as is basis without warranty of any kind. 1265777981 is maintained by the National Plan & Provider Enumeration System. The contents of Brian Earl Bristol ANP-C are for informational purposes only.