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Contact Information

BRAD ROELOFS, CCT
27702 CROWN VALLEY PKWY
D4149
LADERA RANCH, CA92694-0608
 Phone: 949-407-8911
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician, Cardiology

246W00000X
Indicates primary specialty

NPI Profile & details for BRAD ROELOFS · (Male)

NPI # 1831363910
Status Active
Credentials CCT
Entity Individual
Enumeration date 04/18/2008
Last updated 07/21/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • CA Other ZZZ42363Z BLUE SHIELD ITS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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