National Provider Identifier
Bradley Lewis Ruderman
Bradley Lewis Ruderman is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Los Angeles, CA and a listed phone number of (310) 204-5200.
Source: public NPPES record, last updated September 25, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1962053587
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- September 25, 2019
- Last Updated
- September 25, 2019
Practice Location
- 8831 Venice Blvd
- Los Angeles, CA 90034-3223
Phone: (310) 204-5200
Mailing Address
- 3115 Ivy St Apt 7
- Los Angeles, CA 90034-3297
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Bradley Ruderman is a Los Angeles-based counselor whose public provider record identifies a focus in addiction counseling. I could not identify a reliable official practice, health-system, training, certification, faculty, or leadership profile in public sources, so this profile is intentionally limited to verified information.
Full Record
- NPI
- 1962053587
- Entity Type
- Individual
- Last Name
- Ruderman
- First Name
- Bradley
- Middle Name
- Lewis
- Mailing Street Address
- 3115 Ivy St Apt 7
- Mailing City
- Los Angeles
- Mailing State
- CA
- Mailing ZIP Code
- 90034-3297
- Mailing Country
- US
- Practice Street Address
- 8831 Venice Blvd
- Practice City
- Los Angeles
- Practice State
- CA
- Practice ZIP Code
- 90034-3223
- Practice Country
- US
- Practice Phone
- (310) 204-5200
- Enumeration Date
- September 25, 2019
- Last Updated
- September 25, 2019
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)