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NPI Code Detail

MEDICARE: DR. BRIANNE CRYSTAL GOBER M.D.

MEDICARE: DR. BRIANNE CRYSTAL GOBER M.D.
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
1208D00000XGeneral Practice PhysicianA145392CA

General Provider Information

NPI Number : 1477713048
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIANNE CRYSTAL GOBER M.D.
Provider Business Mailing Address
First Line : 9920 PACIFIC HEIGHTS BLVD STE 150
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-4361
Country : US
Telephone Number : 619-560-6696
Fax Number :
Provider Business Practice Location Address
First Line : 9920 PACIFIC HEIGHTS BLVD STE 150
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-4361
Country : US
Telephone Number : 619-560-6696
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2008
Last Update Date : 01/30/2024

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Directions to “ DR. BRIANNE CRYSTAL GOBER M.D.” Practice Location

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