Bradley S Fairfield MD INC
Internal Medicine in Yorba Linda, CA. Organization (NPI-2).
NPI number1164093431
StatusActive
Last updated in NPPESJul 7, 2021
Details
- NPI
- 1164093431
- Entity type
- Organization (NPI-2)
- Legal business name
- Bradley S Fairfield MD INC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2021
- Certification date
- Jul 7, 2021
- Last updated
- Jul 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
4731 Torida WayYorba Linda, CA 92886-3238
Phone 714-936-3576
Mailing address
4731 Torida WayYorba Linda, CA 92886-3238
Phone 714-936-3576
Authorized official
Bradley S Fairfield
Owner / President
7149363576
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