Provider Demographics
NPI:1437445160
Name:CHAMBERLAIN, BRYAN JAMAR (MD)
Entity Type:Individual
Prefix:
First Name:BRYAN
Middle Name:JAMAR
Last Name:CHAMBERLAIN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2250 ALCAZAR STREET SUITE 2200
Mailing Address - Street 2:USC DEPARTMENT OF PSYCHIATRY
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90089-0107
Mailing Address - Country:US
Mailing Address - Phone:323-442-4000
Mailing Address - Fax:323-442-4003
Practice Address - Street 1:2250 ALCAZAR STREET SUITE 2200
Practice Address - Street 2:USC DEPARTMENT OF PSYCHIATRY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0107
Practice Address - Country:US
Practice Address - Phone:323-442-4000
Practice Address - Fax:323-442-4003
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1169882084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry