Watanabe, Brian I
Watanabe, Brian I is an individual health care provider with primary practice located at 24953 Paseo De Valencia Suite 15C, Laguna Hills CA 92653-4342. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Watanabe, Brian I can be contacted via phone (949) 770-9300.Contact Information
Primary practice address
24953 Paseo De Valencia Suite 15C
Laguna Hills CA 92653-4342
Phone: (949) 770-9300
Fax: (949) 770-9310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | G83423 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G83423 | California |
Profile Details
| NPI number | 1831262203 |
|---|---|
| LBN Legal business name | Watanabe, Brian I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Apr 8th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831262203 | NPPES |
| Other | CS338Y | MEDICARE PTAN | |
| Other | 1417286980 | MEDICARE PTAN |
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