Van Vranken, Bruce Harris

Van Vranken, Bruce Harris is an individual health care provider with primary practice located at 24400 Muirlands Blvd Suite F, Lake Forest CA 92630-3946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Van Vranken, Bruce Harris can be contacted via phone (949) 581-0400.

Contact Information

Primary practice address
24400 Muirlands Blvd Suite F Lake Forest CA 92630-3946
Phone: (949) 581-0400
Fax: (949) 581-0694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G32570 California

Profile Details

NPI number 1093742173
LBN Legal business name Van Vranken, Bruce Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Apr 12th, 2012 - about 13 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 1093742173 NPPES
California MEDICAID 00G32570

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