Organization
BRADLEY I. SPIEGEL, M.D., INC.
Active
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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