Organization
BC MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN BRADY (OWNER)
(619) 200-4140
Entity
Organization
Contact information
Practice address
20331 IRVINE AVE STE E2, NEWPORT BEACH, CA 92660-0223
(619) 200-4140
Mailing address
20331 IRVINE AVE STE E2, NEWPORT BEACH, CA 92660-0223
(619) 200-4140
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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