Search › California › 363A00000X
Brian Coons
NPI 1740945971 · on the registry since 2021 · sole proprietor
Practice
- Address
- 12092 Blackmer St
Garden Grove, CA 92845 - Phone
- (949) 307-6887
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California