BRIAN I. WATANABE M.D. INC. NPI 1417286980

NPI Information

NPI: 1417286980
Provider Name: BRIAN I. WATANABE, M.D., INC.
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
24953 PASEO DE VALENCIA
SUITE 15C
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 770-9300
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BRIAN I. WATANABE, M.D., INC. is a vascular surgery surgery in Laguna Hills, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. BRIAN I. WATANABE, M.D., INC. NPI is 1417286980. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24953 PASEO DE VALENCIA
SUITE 15C
LAGUNA HILLS, CA
ZIP 92653-342
Phone: (949) 770-9300
Fax: (949) 770-9310

The provider's authorized official is Brian I. Watanabe .
The authorized official title is President / Owner and has the following contact phone number (949) 770-9300.

The enumeration date for this NPI number is 12/13/2009 and was last updated on 4/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		G83423	CALIFORNIA	No
2	2086S0129X	Surgery	Vascular Surgery	G83423	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GM680A	OTHER	CALIFORNIA	MEDICARE PTAN
2	1831262203	OTHER	CALIFORNIA	INDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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