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NPI Code Detail

MEDICARE: JOHN BRUNO

MEDICARE: JOHN BRUNO
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
1175T00000XPeer Specialist

General Provider Information

NPI Number : 1215873781
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN BRUNO
Provider Business Mailing Address
First Line : 892 27TH ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-1444
Country : US
Telephone Number : 619-575-4687
Fax Number : 619-575-1215
Provider Business Practice Location Address
First Line : 892 27TH ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-1444
Country : US
Telephone Number : 619-575-4687
Fax Number : 619-575-1215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 05/04/2026

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Directions to “ JOHN BRUNO ” Practice Location

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