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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831262203 NPPES
Other CS338Y MEDICARE PTAN
Other 1417286980 MEDICARE PTAN

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