Brian Taylor Campbell
Orthotic Fitter
320 E Bonita Ave
Pomona
, California 91767-1926
Brian Taylor Campbell
Orthotic Fitter
320 E Bonita Ave
Pomona
, California 91767-1926
(909) 625-7535
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Brian Taylor Campbell
- 320 E Bonita Ave
- Pomona, CA
- Zip : 91767-1926
- Fax : (909) 625-7535
- Phone : (909) 621-1180
Second Address
- Brian Taylor Campbell
- 320 E Bonita Ave
- Pomona, CA
- Zip : 91767-1926
- Fax : (909) 625-7535
- Phone : (909) 621-1180
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | COA00174 | CA |
National Provider Identifier
| NPI | 1316226681 |
|---|---|
| Provider Name | Brian Taylor Campbell |
| First Address | Pomona, CA 91767-1926 |
| Second Address | Pomona, CA 91767-1926 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2011 |
| Last Update Date | 04/08/2011 |
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.