Nicholas Brandt, PHYSICIAN ASSISTANT
NPI #1366203903 in San Luis Obispo, California
Provider Information
- NPI Number
- 1366203903
- Entity Type
- Individual
- Name
- Nicholas Brandt, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Jan 22, 2024
- Last Updated
- Nov 10, 2025
Practice Location
- Address
- 1941 JOHNSON AVE STE 101
- City
- San Luis Obispo
- State
- California
- ZIP Code
- 93401-4154
- Phone
- (805) 782-8844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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