DR. BRANDON EVAN LUNG (NPI# 1407413412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407413412 |
| Entity Type | Individual |
| Full Name | DR. BRANDON EVAN LUNG |
| Credential | MD |
| Practice Address |
101 The City Drive South Dept of Ortho Surgery, Pav IIi, 2nd Fl, Rte 81 Orange CA 92868 |
| Practice Telephone | 9498244405 |
| Practice Fax Number | 7144567547 |
| Mailing Telephone | 9498244405 |
| Mailing Fax Number | 7144567547 |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
101 THE CITY DRIVE SOUTH DEPT OF ORTHO SURGERY, PAV III, 2ND FL, RTE 81 |
| City | ORANGE |
| State | CA |
| Zip Code | 92868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851378392 | Scott Alan Engwall | Anesthesiology | 101 The City Drive South, Uci Medical Center, Orange, CA 92868 | 2005-12-27 |
| 1750844189 | Isaac Obermeyer | Student in an Organized Health Care Education/Training Program | 101 The City Drive South, Building 56, Suite 500, Orange, CA 92868 | 2019-04-11 |
| 1497252555 | Nu Ree Na | Student in an Organized Health Care Education/Training Program | 101 The City Drive South, Department of Radiological Sciences, Orange, CA 92868 | 2018-04-06 |
| 1295230910 | Ekta Patel | Student in an Organized Health Care Education/Training Program | 101 The City Drive South, Building 200, Suite 835, Orange, CA 92868 | 2018-03-26 |
| 1477936524 | Behdokht Nowroozizadeh | Pathology | 101 The City Drive South, Bldg 1, 3rd Floor, Room 3003, Orange, CA 92868-3201 | 2015-07-08 |
| 1922491596 | Todd Ramsey Wojtanowicz | Psychiatry & Neurology | 101 The City Drive South, Bldg. 3 Suite 1-200, Orange, CA 92868-3201 | 2015-03-06 |
| 1497160972 | Elham Amiri | Student in an Organized Health Care Education/Training Program | 101 The City Drive South, Orange, CA 92868 | 2014-06-24 |
| 1720359334 | Ridgely Marie Meyers | Radiology | 101 The City Drive South, Bldg 1, Room 0115, Orange, CA 92868 | 2012-01-13 |
| 1851687008 | James Katrivesis | Radiology | 101 The City Drive South, Route 140, Orange, CA 92868 | 2011-06-27 |
| 1033418801 | Shannon Louise Toohey | Emergency Medicine | 101 The City Drive South, Bldg 200, Suite 710, Rt 128-01, Orange, CA 92868 | 2011-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972122109 | Benjamin Felt Bitner | Student in an Organized Health Care Education/Training Program | 101 The City Dr S # Zot5386, Orange, CA 92868-3201 | 2020-04-08 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1508492547 | Megan Rose Defuria | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 524, Orange, CA 92868-4509 | 2020-03-22 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1023661899 | Brittanee Lorynda Carranza | Student in an Organized Health Care Education/Training Program | 301 The City Dr S # 44, Orange, CA 92868-3205 | 2019-07-22 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1760047930 | Nina Christine Del Mundo | Student in an Organized Health Care Education/Training Program | 5817 E West View Dr, Orange, CA 92869-4315 | 2019-05-03 |
| 1720541048 | Elaine Christine Martin | Student in an Organized Health Care Education/Training Program | 101 The City Dr S # 2, Orange, CA 92868-3201 | 2019-04-12 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.