Individual
BRADLEY WARREN PING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
263 S EUCLID AVE, PASADENA, CA 91101-2717
(626) 795-7711
(626) 795-2145
Mailing address
263 S EUCLID AVE, PASADENA, CA 91101-2717
(626) 795-7711
(626) 795-2145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC15846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0158460
BLUE SHIELD
CA
Enumeration date
09/20/2006
Last updated
07/08/2007
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