Individual
SCOTT CHARLES LEDERHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 E BONITA AVE, BUILDING #9, POMONA, CA 91767-1923
(909) 450-0369
(909) 450-0366
Mailing address
255 E BONITA AVE, BUILDING #9, POMONA, CA 91767-1923
(909) 450-0369
(909) 450-0366
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G44897
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0099730
—
CA
Enumeration date
12/20/2005
Last updated
06/15/2010
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