BRADLEY CHARLES BANDERA

SANTA MONICA, CA
NPI1427205681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086X0206X Surgery, Surgical Oncology
(Licence: CA  A135798)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: GA  61600)
208600000X Surgery
(Licence: GA  61600)
Enumeration Date2008-08-19
Last Update Date2018-11-29
Business Address
BRADLEY CHARLES BANDERA MD
2200 SANTA MONICA BLVD JOHN WAYNE CANCER INSTITUTE
SANTA MONICA, CA 90404
Phone number: 310-449-5249
Mailing Address
BRADLEY CHARLES BANDERA MD
2200 SANTA MONICA BLVD JOHN WAYNE CANCER INSTITUTE
SANTA MONICA, CA 90404
Phone number: 310-449-5249