IndividualActive
Brian Haven, DPM
NPI 1609356591 · Primary Podiatric Medicine Podiatrist · Grand Terrace, CA
Provider details
- NPI number
- 1609356591
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- POD-001008 (AZ)
Practice location
11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Phone: (909) 863-1097
Mailing address
11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Registry dates
- Enumerated
- 2018-08-20
- Last updated
- 2024-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.