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Organization
SCOTT C LEDERHAUS MD & LEW B DISNEY MD PRT LEDERHAUS SCOTT C GEN PTR
Active
Organization
SCOTT C LEDERHAUS MD & LEW B DISNEY MD PRT LEDERHAUS SCOTT C GEN PTR
Active
Other names
Inland Neurosurgery Institute
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA M PEREZ (OFFICE MANAGER)
(909) 450-0369
Entity
Organization
Contact information
Practice address
255 E BONITA AVE, BUILDING #9, POMONA, CA 91767-1923
(909) 450-0369
(909) 450-0366
Mailing address
255 E BONITA AVE, BUILDING #9, POMONA, CA 91767-1923
(909) 450-0369
(909) 450-0366
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0099730
—
CA
Enumeration date
09/26/2006
Last updated
07/18/2022
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