Bryant, Timothy Gordon

Bryant, Timothy Gordon is an individual health care provider with primary practice located at 1700 N Rose Ave Ste 430, Oxnard CA 93030-7657. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Bryant, Timothy Gordon can be contacted via phone (805) 485-8722.

Contact Information

Primary practice address
1700 N Rose Ave Ste 430 Oxnard CA 93030-7657
Phone: (805) 485-8722
Fax: (805) 485-9311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G53185 California

Profile Details

NPI number 1164425245
LBN Legal business name Bryant, Timothy Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Mar 22nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164425245 NPPES
California MEDICAID 00G531850

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