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Search › California › 363A00000X

Bradford Lively, PA-C

NPI 1134846835 · on the registry since 2022

Practice

Address
24012 Calle De La Plata Ste 150
Laguna Hills, CA 92653
Phone
(949) 588-7246
Organisation at this address
Kiet Loc Apc
Kintsugi Tms
Kintsugi Health
Privata Care, Inc.
Parentis Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Additional practice sites

  • 29300 Portola Pkwy Ste B, Lake Forest, CA

Registry record

Primary taxonomy
363A00000X
363A00000X
Sex
Male
Record last updated
2026-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California