Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 0101264710 | VA |
Y | 2084N0400X | Neurologist | A130816 | CA |
NPI | 1003182007 |
---|---|
Provider Name | Christopher Bradley Lening |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90095-1544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2012 |
Last Update Date | 21/07/2021 |