| Doctor Name: | BRANDON JANUS FREUND |
| NPI Number: | 1033590278 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 52568 |
| Business Practice Address: | 38600 Medical Center Dr Palmdale, CA - 935514483 |
| Business Phone Number: | 6613825000 |
| Business Fax Number: | |
| Mailing Address: | 411 E Bay State St, Apt 58 ALHAMBRA |
| State: | CA |
| Postal Code: | 918013975 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/13/2015 |
| NPI Last Update Date: | 07/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 52568 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |