Search › California › 172V00000X
Coretta Brady
NPI 1538534987 · on the registry since 2015 · sole proprietor
Practice
- Address
- 600 N Arrowhead Ave
San Bernardino, CA 92401 - Phone
- (909) 963-5355
- Organisation at this address
- Victor Community Support Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 145
Additional practice sites
- 12149 Pine St Apt 4, Norwalk, CA
- 11741 Telegraph Rd, Santa Fe Springs, CA
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 225400000X
101Y00000X
103K00000X
171M00000X
171M00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-24
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