Disney, Lew Bradley

Disney, Lew Bradley is an individual health care provider with primary practice located at 255 E Bonita Ave Building #9, Pomona CA 91767-1923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Disney, Lew Bradley can be contacted via phone (909) 450-0369.

Contact Information

Primary practice address
255 E Bonita Ave Building #9 Pomona CA 91767-1923
Phone: (909) 450-0369
Fax: (909) 450-0366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X A49362 California

Profile Details

NPI number 1154307296
LBN Legal business name Disney, Lew Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jun 15th, 2010 - about 15 years ago

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 1154307296 NPPES
California MEDICAID GR0099730

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