Washington Bryan II, MD Inc

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

WASHINGTON BRYAN II, MD INC

Practice address

11669 Santa Monica Blvd Ste 110
Los Angeles, CA 90025-2929

Phone

(310) 228-3652

Fax

(310) 499-4177

NPI assigned

Feb 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Washington Bryan II, M.D.

Title

President

Phone

(310) 228-3652

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1306972443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11669 SANTA MONICA BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252929",
            "telephone_number": "310-228-3652",
            "fax_number": "310-499-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11669 SANTA MONICA BLVD STE 110",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252929",
            "telephone_number": "310-228-3652",
            "fax_number": "310-499-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON BRYAN II, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "WASHINGTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-228-3652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Alexis Wascher, M.A.
• Chrystel Wasembeck, MSW
• Elena Catherine Wash, MSW
• Cynthia Washburn
• Victoria Washburn
• Washington Enterprises III, LLC
• Robert Washington-Lee
• Andrea Washington
• Barbara Lynn Washington
• Bridget Washington

• Pain Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.