Organization
GAIL C. BRADY, MD, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL C BRADY MD (DIRECTOR)
(310) 601-4839
Entity
Organization
Contact information
Practice address
4055 E THOUSAND OAKS BLVD SUITE 215, WEST LAKE VILLAGE, CA 91362
(301) 601-4839
Mailing address
1643 TREASURE LK, DU BOIS, PA 15801-9044
(800) 955-3461
(877) 663-8721
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C51588
CA
Other
Enumeration date
04/18/2018
Last updated
08/02/2024
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