| Brian Eijiro Tabata, PA-C | |
|
41949 Big Bear Blvd, Big Bear Lake, CA 92315 | |
| (909) 878-3696 | |
| Not Available |
| Full Name | Brian Eijiro Tabata |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 41949 Big Bear Blvd, Big Bear Lake, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437534005 | NPI | - | NPPES |
| 52659 | Other | CA | CALIFORNIA PA LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 52659 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Eijiro Tabata, PA-C 41949 Big Bear Blvd, Big Bear Lake, CA 92315 Ph: (909) 878-3696 | Brian Eijiro Tabata, PA-C 41949 Big Bear Blvd, Big Bear Lake, CA 92315 Ph: (909) 878-3696 |
Ms. Jessica Marian Rule, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 41947 Big Bear Blvd, Big Bear Lake, CA 92315 Phone: 909-878-3696 | |
Miss Jodie Lynn Apostle, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 41870 Garstin Dr, Big Bear Lake, CA 92315 Phone: 909-866-6501 | |
John Nunn, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Po Box 1649, Big Bear Lake, CA 92315 Phone: 619-847-7741 | |
Brett Davis, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 41949 Big Bear Blvd, Big Bear Lake, CA 92315 Phone: 909-878-3696 | |
John W Bulrice, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 41930 Garstin Dr, Big Bear Lake, CA 92315 Phone: 909-866-6567 Fax: 909-866-7030 | |
Susan M Mccabe, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 41870 Garstin Drive, Big Bear Lake, CA 92315 Phone: 909-878-8214 Fax: 909-878-8282 |