Individual
BRADFORD WOLFRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5105 W GOLDLEAF CIR, LOS ANGELES, CA 90056-1269
(323) 298-3129
Mailing address
5105 W GOLDLEAF CIR, LOS ANGELES, CA 90056-1269
(323) 298-3129
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A136830
CA
Other
Enumeration date
04/21/2011
Last updated
12/03/2021
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