IndividualActive
Bryan Brandon
NPI 1548670482 · Facial Plastic Surgery Physician · San Clemente, CA
Provider details
- NPI number
- 1548670482
- Entity type
- Individual
- Primary specialty
- Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 201583 (NC)
Practice location
665 Camino De Los Mares # 100
San Clemente, CA 92673-2859
Phone: (949) 276-4141
Mailing address
665 Camino De Los Mares # 100
San Clemente, CA 92673-2859
Registry dates
- Enumerated
- 2014-04-30
- Last updated
- 2021-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.