Brian James Coons
Physician Assistant in Garden Grove, CA. Individual provider (NPI-1).
NPI number1740945971
StatusActive
Last updated in NPPESNov 2, 2021
Details
- NPI
- 1740945971
- Entity type
- Individual (NPI-1)
- Name
- Brian James Coons
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 2, 2021
- Certification date
- Nov 2, 2021
- Last updated
- Nov 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | CA | Yes |
Practice location
12092 Blackmer StGarden Grove, CA 92845-1509
Phone 949-307-6887
Mailing address
12092 Blackmer StGarden Grove, CA 92845-1509
Phone 949-307-6887
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All 41 Physician Assistant providers in Garden Grove · All 5,773 providers in Garden Grove
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