Brian Ichwan

NPI #1457748287 in Duarte, California

Provider Information

NPI Number: 1457748287
Entity Type: Individual
Name: Brian Ichwan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Enumeration Date: Apr 20, 2015
Last Updated: Sep 11, 2018

Practice Location

Address: 939 SWISS TRL
City: Duarte
State: California
ZIP Code: 91010-2181
Phone: (626) 429-7036

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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