Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Dam, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1104337054

Brian Dam, PHYSICIANASSISTANT is a Physician Assistant in Fullerton, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

2720 N Harbor Blvd Ste 210
Fullerton, CA 92835-2626
Phone: (714) 446-5192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 54999 (CA)

Record details

NPI number1104337054
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 18, 2017
Last updated in NPPESJanuary 1, 2022
Certification dateJanuary 1, 2022
Mailing addressPo Box 5099, Orange, CA 92863-5099

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