Hudson, Bradley Ogden

Hudson, Bradley Ogden is an individual health care provider with primary practice located at 3250 Wilshire Blvd Suites 320, 500 & 600, Los Angeles CA 90010-1577. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Hudson, Bradley Ogden can be contacted via phone (323) 361-3814.

Contact Information

Primary practice address
3250 Wilshire Blvd Suites 320, 500 & 600 Los Angeles CA 90010-1577
Phone: (323) 361-3814
Fax: (323) 361-8350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY13124 California

Profile Details

NPI number 1760576839
LBN Legal business name Hudson, Bradley Ogden
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jan 17th, 2017 - about 8 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 1760576839 NPPES
California MEDICAID PSY131240

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