Aguirre, Bradley Jay

Aguirre, Bradley Jay is an sole proprietor health care provider with primary practice located at 1818 Verdugo Blvd Suite 303, Glendale CA 91208-9976. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Aguirre, Bradley Jay can be contacted via phone (818) 248-2454.

Contact Information

Primary practice address
1818 Verdugo Blvd Suite 303 Glendale CA 91208-9976
Phone: (818) 248-2454
Fax: (818) 248-8503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3310 California

Profile Details

NPI number 1588775480
LBN Legal business name Aguirre, Bradley Jay
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 17th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588775480 NPPES
California MEDICAID E33100

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