Provider Demographics
NPI:1477007375
Name:SEARLES, BRIAN VICTOR II
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:VICTOR
Last Name:SEARLES
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 S SPRING ST APT 901
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-2338
Mailing Address - Country:US
Mailing Address - Phone:240-274-2288
Mailing Address - Fax:
Practice Address - Street 1:548 S SPRING ST APT 901
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-2338
Practice Address - Country:US
Practice Address - Phone:240-274-2288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other