NPI 1124368667 · live from the CMS NPI Registry
Candice Lillian Brady, DO
Orthopaedic Surgery, Foot and Ankle Surgery in Camarillo, CA. National Provider Identifier 1124368667, active.
NPI record
| NPI | 1124368667 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Foot and Ankle Surgery 207XX0004X |
| Practice location | 400 Camarillo Ranch Rd Ste 101, Camarillo, CA 93012 |
| Practice phone | 805-273-5478 |
| Enumerated | February 20, 2013 |
| Last updated | February 11, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Foot and Ankle Surgery | 207XX0004X | DO2364 (NV) |
| Orthopaedic Surgery, Foot and Ankle Surgery primary | 207XX0004X | 20A14792 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.