Individual
MR. DUANE E BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11633 HAWTHORNE BLVD, #400, HAWTHORNE, CA 90250-2321
(310) 973-0600
(310) 419-0834
Mailing address
11633 HAWTHORNE BLVD, #400, HAWTHORNE, CA 90250-2321
(310) 973-0600
(310) 419-0834
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G63954
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G63954
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G639541
—
CA
Enumeration date
07/06/2006
Last updated
03/24/2010
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