MEDICARE: BRETT TOMPKINS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	0102206481	VA
2	207W00000X	Ophthalmology Physician	20A14201	CA

General Provider Information

NPI Number	:	1033533195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRETT TOMPKINS DO

Provider Business Mailing Address
First Line	:	14726 RAMONA AVE STE 203
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-5730
Country	:	US
Telephone Number	:	626-305-9100
Fax Number	:	626-305-0152

Provider Business Practice Location Address
First Line	:	7677 CENTER AVE STE 301
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-3049
Country	:	US
Telephone Number	:	714-901-2007
Fax Number	:	714-901-2003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2014
Last Update Date	:	08/03/2024

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Directions to “ BRETT TOMPKINS DO” Practice Location

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