Provider Demographics
NPI:1700265170
Name:COX, BRIAN (ND)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:
Last Name:COX
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1577 CAROB LN
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-6007
Mailing Address - Country:US
Mailing Address - Phone:650-961-1660
Mailing Address - Fax:877-360-3336
Practice Address - Street 1:1577 CAROB LN
Practice Address - Street 2:
Practice Address - City:LOS ALTOS
Practice Address - State:CA
Practice Address - Zip Code:94024-6007
Practice Address - Country:US
Practice Address - Phone:650-961-1660
Practice Address - Fax:877-360-3336
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-19
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0111558175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath