Provider Demographics
NPI:1720014038
Name:LANGENBERG, BRET JAMES (DO, FACS)
Entity Type:Individual
Prefix:DR
First Name:BRET
Middle Name:JAMES
Last Name:LANGENBERG
Suffix:
Gender:M
Credentials:DO, FACS
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Mailing Address - Street 1:4033 3RD AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-2130
Mailing Address - Country:US
Mailing Address - Phone:619-295-8677
Mailing Address - Fax:619-295-7935
Practice Address - Street 1:4033 3RD AVE STE 204
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2130
Practice Address - Country:US
Practice Address - Phone:619-295-8677
Practice Address - Fax:619-295-7935
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2023-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A9381208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery