Brian Keith Estwick
Ophthalmologist
4644 Lincoln Blvd Ste #430
Marina del Rey
, California 90292-6313
Brian Keith Estwick
Ophthalmologist
4644 Lincoln Blvd Ste #430
Marina del Rey
, California 90292-6313
(310) 390-2364
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Brian Keith Estwick
- 4644 Lincoln Blvd Ste #430
- Marina Del Rey, CA
- Zip : 90292-6313
- Fax : (310) 390-2364
- Phone : (310) 390-2420
Second Address
- Brian Keith Estwick
- 4644 Lincoln Blvd Ste #430
- Marina Del Rey, CA
- Zip : 90292-6313
- Fax : (310) 390-2364
- Phone : (310) 390-2420
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | A41775 | CA |
National Provider Identifier
| NPI | 1003889247 |
|---|---|
| Provider Name | Brian Keith Estwick |
| First Address | Marina Del Rey, CA 90292-6313 |
| Second Address | Marina Del Rey, CA 90292-6313 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2006 |
| Last Update Date | 26/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| BE033530Z | DEA (01) | |
| E24774 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.