DR. MARCEL BRYSK (NPI# 1174625982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174625982 |
| Entity Type | Individual |
| Full Name | DR. MARCEL BRYSK |
| Credential | M.D. |
| Practice Address |
4269 Hawk St ` San Diego CA 92103-1316 |
| Practice Telephone | 8587177707 |
| Mailing Telephone | 8587177707 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
C32654 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4269 HAWK ST ` |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326548363 | Paul Manchester | Preventive Medicine | 11159 Corte Pleno Verano, San Diego, CA 92130-2688 | 2018-02-16 |
| 1144593989 | Laura Buehning | Preventive Medicine | 4015 Carmel View Rd, 184, San Diego, CA 92130-2394 | 2012-02-09 |
| 1336422252 | Kathleen Gray | Preventive Medicine | 3930 4th Ave Ste 200, San Diego, CA 92103-3119 | 2011-09-27 |
| 1760775928 | Stephen Frederic Hansen | Preventive Medicine | 1036 Chalcedony St, San Diego, CA 92109-2625 | 2011-05-20 |
| 1942321930 | Ira Lee Goodman | Preventive Medicine | 4316 Corte De La Fonda, San Diego, CA 92130-2126 | 2007-04-03 |
| 1881663581 | Christine Maura Schindler | Preventive Medicine | 3300 Craven Street Building 3300, 32nd Street Naval Station Branch Medical Clinic, San Diego, CA 92136-5599 | 2006-03-15 |
| 1659341089 | Kenichi Carrigan | Preventive Medicine | 3235 Albacore Alley, San Diego, CA 92136 | 2006-01-26 |
| 1710979877 | Michael Bezouska | Preventive Medicine | 4490 Fanuel St, San Diego, CA 92109-8737 | 2005-08-16 |
| 1619977618 | Margaret Ryan | Preventive Medicine | Nhrc Code 25, Box 85122, San Diego, CA 92186-5122 | 2005-08-01 |
| 1386856896 | John Francis Lorentz | Preventive Medicine | 2001 4th Ave, San Diego, CA 92101-2303 | 2007-05-04 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.