Individual
DR. BRADLEY LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 N VERMONT AVE, #1003, LOS ANGELES, CA 90027-6005
(323) 663-0077
(323) 663-4501
Mailing address
1300 N VERMONT AVE, #1003, LOS ANGELES, CA 90027-6005
(323) 663-0077
(323) 663-4501
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G42058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G420580
—
CA
Enumeration date
02/16/2007
Last updated
04/18/2008
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