Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 33114 | CA |
NPI | 1114432986 |
---|---|
Provider Name | Dr. Andrew Bradley Buser |
First Address | Huntington Beach, CA 92648-6417 |
Second Address | Huntington Beach, CA 92648-6417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2017 |
Last Update Date | 02/12/2017 |