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Organization
BRADLEY J. E. PROFESIONAL CORPORATION
Active
Organization
BRADLEY J. E. PROFESIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES LI (PRINCIPAL)
(714) 873-6202
Entity
Organization
Contact information
Practice address
99 ALMADEN BLVD STE 600, SAN JOSE, CA 95113-1605
(714) 873-6202
(415) 367-1481
Mailing address
5214F DIAMOND HEIGHTS BLVD # 554, SAN FRANCISCO, CA 94131-2175
(714) 873-6202
(415) 367-1481
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
163WN1003X
Nutrition Support Registered Nurse
—
—
171400000X
Health & Wellness Coach
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/06/2024
Last updated
03/20/2024
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