Individual
BRADLEY ORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23701 E EAST FORK RD, AZUSA, CA 91702-1477
(626) 250-1380
Mailing address
23701 E EAST FORK RD, AZUSA, CA 91702-1477
(626) 250-1380
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/12/2015
Last updated
05/20/2015
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