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NPI Code Detail

MEDICARE: MR. BRYAN CHARLES DOONAN MD

MEDICARE:  MR. BRYAN CHARLES DOONAN  MD
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
1207Q00000XFamily MedicineA78014CA

General Provider Information

NPI Number : 1427167121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRYAN CHARLES DOONAN MD
Provider Business Mailing Address
First Line : 360 SAN MIGUEL DR STE 107
Second Line : SUITE 307
City : NEWPORT BEACH
State : CA
Zip : 92660-7815
Country : US
Telephone Number : 949-760-8300
Fax Number : 949-760-8316
Provider Business Practice Location Address
First Line : 360 SAN MIGUEL DR STE 107
Second Line : SUITE 307
City : NEWPORT BEACH
State : CA
Zip : 92660-7815
Country : US
Telephone Number : 949-760-8300
Fax Number : 949-760-8316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 04/17/2018

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Directions to “ MR. BRYAN CHARLES DOONAN MD” Practice Location

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