Organization
SOUTHERN CALIFORNIA PAIN CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH STERLING BRADLEY, M.D. M.D. (CEO, PRESIDENT)
(310) 540-9888
Entity
Organization
Contact information
Practice address
4201 TORRANCE BLVD, SUITE 590, TORRANCE, CA 90503-4536
(310) 540-9888
(310) 540-0444
Mailing address
PO BOX 2129, PALOS VERDES PENINSULA, CA 90274-8129
(310) 540-9888
(310) 540-0444
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G82005
CA
2084P0800X
Psychiatry Physician
A109016
CA
208VP0014X
Interventional Pain Medicine Physician
A109016
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
G82005
CA
Other
Enumeration date
09/28/2012
Last updated
05/13/2020
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