NPI 1073055521

Brian Haack, CCP

Practitioner Perfusionist Long Beach, CA

Practice location

Address: 4638 Pepperwood Ave, Long Beach, CA 90808-1071
Phone: (562) 822-6400

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 940111

Other Perfusionist providers in California →

Registry record

NPI: 1073055521
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2016
Record last updated: 15 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.