Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0200X | Radiology | DC25843 | CA |
Y | 213ER0200X | Radiology | DC25843 | CA |
NPI | 1922027762 |
---|---|
Provider Name | Brian William Brownley |
First Address | Aliso Viejo, CA 92656-8033 |
Second Address | Laguna Hills, CA 92653-4957 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/07/2007 |