Individual provider · NPI-1

Susan Bradshaw, MD

Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine · Los Angeles, CA

NPI number1104355783

StatusActive

Last updated in NPPESJun 7, 2017

Details

NPI: 1104355783
Entity type: Individual (NPI-1)
Name: Susan Bradshaw
Credential: MD
Sex: Female
Sole proprietor: Yes
Enumeration date: Jun 7, 2017
Last updated: Jun 7, 2017

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2083P0500X	Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine	g73849	CA	Yes

Practice location

6320 W Howard Drollinger Way Ste 203
Los Angeles, CA 90045-3627

Phone 310-665-0300 · Fax 310-665-0303

Mailing address

6320 W Howard Drollinger Way Ste 203
Los Angeles, CA 90045-3627

Phone 310-665-0300 · Fax 310-665-0303

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