Dr. Brian Spivack
Surgeon Surgical Oncologist
8263 Grove Ave Ste 204
Rancho Cucamonga
, California 91730-3107
Dr. Brian Spivack
Surgeon Surgical Oncologist
8263 Grove Ave Ste 204
Rancho Cucamonga
, California 91730-3107
(909) 946-3290
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Dr. Brian Spivack
- 8263 Grove Ave Ste 204
- Rancho Cucamonga, CA
- Zip : 91730-3107
- Fax : (909) 946-3290
- Phone : (909) 946-5320
Second Address
- Dr. Brian Spivack
- 8263 Grove Ave Ste 204
- Rancho Cucamonga, CA
- Zip : 91730-3107
- Fax : (909) 946-3290
- Phone : (909) 946-5320
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | G67360 | CA |
| Y | 208600000X | Surgeon | G67360 | CA |
| N | 2086X0206X | Surgical Oncologist | G67360 | CA |
National Provider Identifier
| NPI | 1295750305 |
|---|---|
| Provider Name | Dr. Brian Spivack |
| First Address | Rancho Cucamonga, CA 91730-3107 |
| Second Address | Rancho Cucamonga, CA 91730-3107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/07/2006 |
| Last Update Date | 05/09/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F57691 | (02) | CA |
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.