NPI 1770766263

Randy Leo Brissette

Practitioner Case Management Agency Valencia, CA

Practice location

Address: 23759 W Valencia Blvd Valencia Sub Office, Valencia, CA 91355
Phone: (661) 253-7271
Fax: (661) 974-7055
Mailing address: 9150 East Imperial Hwy Rm P-31, Downey, CA 90242

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1770766263
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Dec 2007
Record last updated: 7 Dec 2007

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.