Individual
BRETT MICHAEL BEDROSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 S MILL ST STE B, TEHACHAPI, CA 93561-1619
(661) 822-8223
Mailing address
21309 MOUNTAIN DR, TEHACHAPI, CA 93561-8866
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
OTHER
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SIF188A50277
ANTHEM BLUE CROSS
CA
Enumeration date
10/15/2021
Last updated
10/15/2021
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