Ferrell, Bruce Allen

Ferrell, Bruce Allen is an individual health care provider with primary practice located at 1683 Ventura Blvd , Encino CA 91436-1707. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Ferrell, Bruce Allen can be contacted via phone (310) 825-0631.

Contact Information

Primary practice address
1683 Ventura Blvd Encino CA 91436-1707
Phone: (310) 825-0631
Fax: (310) 794-2113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X G60156 California
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X G60156 California

Profile Details

NPI number 1487689121
LBN Legal business name Ferrell, Bruce Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 21st, 2022 - about 2 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 1487689121 NPPES
California MEDICAID 00G601560

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