Individual
DR. JESSE BANDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
COMNAVSURFPAC, FST-5, 3455 SENN ST. BLDG 75, SAN DIEGO, CA 92136
(224) 616-0232
Mailing address
34800 BOB WILSON DR., BUILDING 3, FOURTH FLOOR (GENERAL SUERGERY), SAN DIEGO, CA 92134-3400
(619) 532-9000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A112204
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2008
Last updated
07/01/2025
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