Bradley Landis is a Urology in Los Angeles, California. Bradley Landis practices all healthcare services and medical treatments related to Urology. The NPI Number for Bradley Landis is 1538203583. The last update date is 2008-04-18.
Bradley Landis's current location address is 1300 N Vermont Ave, Los Angeles, California. You can contact this provider via phone number 3236630077 and fax number 3236634501. The mailing address for Bradley Landis is 1300 N Vermont Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Landis |
|---|---|
| Address | 1300 N Vermont Ave, Los Angeles, California |
| Phone Number | 3236630077 |
| Fax Number | 3236634501 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1538203583 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2008-04-18 |
Provider Mailing Address Detail
| Address | 1300 N Vermont Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900276005 |
| Phone Number | 3236630077 |
| Fax Number | 3236634501 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | G42058 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G420580 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bradley Landis by the Centers for Medicare & Medicaid Services?
The Bradley Landis has been issued the NPI (National Provider Identifier) 1538203583, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bradley Landis?
The Bradley Landis is situated at 1300 N Vermont Ave, in the city of Los Angeles, state of CA, with the zip code 900276005.
What is the Bradley Landis's specialty and taxonomy code?
The Bradley Landis's specialty is Urology, and the corresponding taxonomy code is 208800000X.
On what date did the Bradley Landis receive the assignment of its 1538203583 from the Centers for Medicare & Medicaid Services?
The Bradley Landis was issued its 1538203583 by the Centers for Medicare & Medicaid Services on 2007-02-16.
As of what date was the information pertaining to Bradley Landis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bradley Landis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-18.
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