Most Relevant Information
Provider Data
| NPI Number: | 1003544289 |
| Provider Name: | BRADLEY CHARLES NEIMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/15/2022 |
| Last Updated: | 08/19/2022 |
Provider Practice Location
9808 VENICE BLVD STE 700
CULVER CITY
CA
902326824
Practice Location Phone/Fax
| Phone: | 3109453350 |
| Fax: |
Provider Mailing Location
9808 VENICE BLVD STE 700
CULVER CITY
CA
902326824
Provider Mailing Phone/Fax
| Phone: | 3109453350 |
| Fax: |