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Individual

BRADLEY SEAN NEUTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25381 COMMERCENTRE DR, LAKE FOREST, CA 92630-8860
(949) 881-5683
(949) 810-8417
Mailing address
25381 COMMERCENTRE DR, LAKE FOREST, CA 92630-8860
(949) 881-5683
(949) 810-8417

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A177496
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
A177496
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E1589598
DRIVER LICENSE
CA
Enumeration date
05/14/2019
Last updated
12/15/2025
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