BRADLEY RUSSELL SHANE

SANTA MONICA, CA
NPI1932720562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: CA  A194680)
Enumeration Date2020-05-05
Last Update Date2024-10-30
Business Address
BRADLEY RUSSELL SHANE MD
1260 15TH ST STE 1024
SANTA MONICA, CA 90404-1145
Phone number: 424-259-8570
Mailing Address
BRADLEY RUSSELL SHANE MD
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number:
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