Individual
BRAD MARC LA ROCCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 W STEWART DR, ORANGE, CA 92868-3849
(714) 633-9111
Mailing address
PO BOX 690, LONG BEACH, CA 90801-0690
(562) 809-3547
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G30067
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G300670
—
CA
Enumeration date
07/07/2006
Last updated
07/08/2008
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