Healthcare Provider Details

I. General information

NPI: 1225975006
Provider Name (Legal Business Name): DAVID A BRIONES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9140 VAN NUYS BLVD BLDG SUITE211
PANORAMA CITY CA
91402-6727
US

IV. Provider business mailing address

9140 VAN NUYS BLVD BLDG SUITE211
PANORAMA CITY CA
91402-6727
US

V. Phone/Fax

Practice location:
  • Phone: 818-895-2206
  • Fax:
Mailing address:
  • Phone: 818-895-2206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number19330
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: