Organization
BRADLEY I. SPIEGEL, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY I. SPIEGEL M.D. (OWNER)
(805) 370-4782
Entity
Organization
Contact information
Practice address
415 ROLLING OAKS DRIVE, SUITE#115, THOUSAND OAKS, CA 91361-1030
(805) 370-4782
(805) 230-1107
Mailing address
415 ROLLING OAKS DRIVE, SUITE#115, THOUSAND OAKS, CA 91361-1030
(805) 370-4782
(805) 230-1107
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G62100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G62100D
—
CA
05
—
GR0052480
—
CA
05
—
GR0052481
—
CA
Enumeration date
08/05/2006
Last updated
07/20/2009
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