Haven, Brian Thomas

Haven, Brian Thomas is an individual health care provider with primary practice located at 11980 Mount Vernon Ave , Grand Terrace CA 92313-5172. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Haven, Brian Thomas can be contacted via phone (909) 863-1097.

Contact Information

Primary practice address
11980 Mount Vernon Ave Grand Terrace CA 92313-5172
Phone: (909) 863-1097
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD-001008 Arizona
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X E6017 California

Profile Details

NPI number 1609356591
LBN Legal business name Haven, Brian Thomas
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2018
Last updated Jan 26th, 2024 - about 10 months 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.

Request for update

Popular Providers