Provider Demographics
NPI:1518077924
Name:AUN, BRYAN (DC)
Entity Type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:
Last Name:AUN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1314 S EUCLID ST
Mailing Address - Street 2:SUITE #208
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-2079
Mailing Address - Country:US
Mailing Address - Phone:714-808-9666
Mailing Address - Fax:714-808-1666
Practice Address - Street 1:1314 S EUCLID ST
Practice Address - Street 2:SUITE #208
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802-2079
Practice Address - Country:US
Practice Address - Phone:714-808-9666
Practice Address - Fax:714-808-1666
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26948111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor