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

Individual provider Perfusionist · NPI 1073055521

Brian Haack, CCP is a Perfusionist in Long Beach, California. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

4638 Pepperwood Ave
Long Beach, CA 90808-1071
Phone: (562) 822-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X · Licence 940111

Record details

NPI number1073055521
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorYes
NPI enumeratedNovember 15, 2016
Last updated in NPPESNovember 15, 2016