Individual
BRADLEY S ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10398 W SUNSET BLVD, LOS ANGELES, CA 90077-3613
(310) 276-0004
(310) 273-0818
Mailing address
10398 W SUNSET BLVD, LOS ANGELES, CA 90077-3613
(310) 276-0004
(310) 273-0818
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G51838
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
L7300
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157995501
—
TX
01
—
8F6681
BCBS
TX
01
—
P00017417
RAILROAD MEDICARE
TX
Enumeration date
07/18/2006
Last updated
05/13/2024
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