Individual
DR. BRADLEY DE SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD # MS 12, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
4650 W SUNSET BLVD # MS 12, LOS ANGELES, CA 90027-6062
(323) 660-2450
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
270332
MA
208000000X
Pediatrics Physician
270332
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A169202
CA
Other
Enumeration date
04/20/2017
Last updated
10/03/2024
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