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Individual

ALLEN B. BREDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4760 W SUNSET BLVD, LOS ANGELES, CA 90027-6063
(323) 783-4011
Mailing address
393 E WALNUT ST, 3RD FLOOR PHR SYSTEMS, PASADENA, CA 91188-0001
(000) 000-0000
(000) 000-0000

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C28554
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C285540
CA
Enumeration date
01/08/2007
Last updated
11/29/2007
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