Organization
BRADLEY HEALTHCARE GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND SHORES (CEO)
(747) 900-8636
Entity
Organization
Contact information
Practice address
21044 SHERMAN WAY STE 103A, CANOGA PARK, CA 91303-1890
(747) 900-4291
Mailing address
21044 SHERMAN WAY STE 103A, CANOGA PARK, CA 91303-1890
(747) 900-4292
(818) 530-1419
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
05/02/2018
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