Lew Bradley Disney in Pomona - Neurological Surgery
Lew Bradley Disney - NPI 1154307296
Lew Bradley Disney is a Neurological Surgery in Pomona, California. Lew Bradley Disney practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Lew Bradley Disney is 1154307296. The last update date is 2010-06-15.
Lew Bradley Disney's current location address is 255 E Bonita Ave, Pomona, California. You can contact this provider via phone number 9094500369 and fax number 9094500366. The mailing address for Lew Bradley Disney is 255 E Bonita Ave, Pomona, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lew Bradley Disney |
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Address | 255 E Bonita Ave, Pomona, California |
Phone Number | 9094500369 |
Fax Number | 9094500366 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1154307296 |
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Provider Enumeration Date | 2005-12-20 |
Last Updated Date | 2010-06-15 |
Provider Mailing Address Detail
Address | 255 E Bonita Ave |
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City | Pomona |
State | California (CA) |
Post Code | 917671923 |
Phone Number | 9094500369 |
Fax Number | 9094500366 |
Provider's Primary Taxonomy Detail
Speciality | Neurological Surgery |
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Taxonomy | 207T00000X |
Licence No | A49362 |
Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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GR0099730 | CA | -- |
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What is the unique identifier code issued to Lew Bradley Disney by the Centers for Medicare & Medicaid Services?
The Lew Bradley Disney has been assigned the NPI (National Provider Identifier) 1154307296. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lew Bradley Disney is physically located?
The Lew Bradley Disney is situated at the following address: 255 E Bonita Ave, Pomona, CA 917671923.
What is Lew Bradley Disney's area of expertise and its corresponding taxonomy classification?
The Lew Bradley Disney's field of specialization is Neurological Surgery, and it falls under the taxonomy code 207T00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lew Bradley Disney receive the assignment of its 1154307296 from the Centers for Medicare & Medicaid Services?
The Lew Bradley Disney was issued its 1154307296 by the Centers for Medicare & Medicaid Services on 2005-12-20.
When was the information regarding Lew Bradley Disney most recently updated?
The details pertaining to the Lew Bradley Disney, including its address, specialty, and other relevant information, were last refreshed on 2010-06-15.
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