Individual
DR. BRENDAN JOHN BOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44151 15TH ST W STE 101, LANCASTER, CA 93534-4079
(661) 902-5600
(661) 951-0686
Mailing address
1333 S MAYFLOWER AVE STE 200, MONROVIA, CA 91016-5266
(626) 775-3514
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A87312
CA
208600000X
Surgery Physician
ME113892
FL
2086X0206X
Surgical Oncology Physician
Primary
A87312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006489500
—
FL
Enumeration date
06/04/2008
Last updated
07/21/2022
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