Individual
KENNETH STERLING BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4201 TORRANCE BLVD, SUITE 590, TORRANCE, CA 90503-4536
(310) 540-9888
(310) 540-0444
Mailing address
PO BOX 2129, PALOS VERDES PENINSULA, CA 90274-8129
(310) 540-9888
(310) 540-0444
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
10347
NV
207L00000X
Anesthesiology Physician
4301079245
MI
207L00000X
Anesthesiology Physician
G82005
CA
208VP0000X
Pain Medicine Physician
Primary
G82005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100503440
—
NV
01
—
CC9142
BC
NV
01
—
P00170873
RAILROAD MEDICARE
NV
Enumeration date
08/29/2006
Last updated
05/30/2014
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