Spiegel, Bradley I.

Spiegel, Bradley I. is an individual health care provider with primary practice located at 415 East Rolling Oaks Drive Suite#115, Thousand Oaks CA 91361-1036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Spiegel, Bradley I. can be contacted via phone (805) 230-3166.

Contact Information

Primary practice address
415 East Rolling Oaks Drive Suite#115 Thousand Oaks CA 91361-1036
Fax: (602) 298-2686
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G62100 California

Profile Details

NPI number 1760491039
LBN Legal business name Spiegel, Bradley I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 22nd, 2009 - 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 1760491039 NPPES
California MEDICAID GR0052480
California MEDICAID GR0052481
California MEDICAID OOG621000
California MEDICAID 00G621001

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