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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN EIJIRO TABATA, PA-C

Active

BRIAN EIJIRO TABATA, PA-C is a Physician Assistant healthcare provider located in BIG BEAR LAKE, California. NPI 1437534005 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BIG BEAR LAKE, CA

Registration Details

NPI Number
1437534005
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2015 (11.059992695458 yrs)
Last Updated
Oct 12, 2015
License
52659 (CA)

Practice Information

Address
41949 BIG BEAR BLVD
BIG BEAR LAKE, CA, 92315
Browse CA providers · Browse ZIP 92315
Phone
9098783696
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BIG BEAR LAKE, CA

Name Credential NPI
BRETT DAVIS P.A. 1700091436
SUSAN M MCCABE PA-C 1992032643
MISS JODIE LYNN APOSTLE PA-C 1518276161
JOHN NUNN 1689139057
MS. JESSICA MARIAN RULE PA-C 1285290213
DANIEL ADAM CURTIS PA-C 1013568773
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.