Organization
BRADLEY H CHESLER M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY HOWARD CHESLER M.D. (PRESIDENT)
(858) 673-9991
Entity
Organization
Contact information
Practice address
1955 CITRACADO PKWY STE 203, ESCONDIDO, CA 92029-4112
(760) 738-5533
(760) 738-3835
Mailing address
1955 CITRACADO PKWY STE 203, ESCONDIDO, CA 92029-4112
(760) 738-5533
(760) 738-3835
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A43963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A439630
—
CA
05
—
00A439631
—
CA
01
—
125649400
U.S. DEPARTMENT OF LABOR
CA
01
—
1505013
BLUE CROSS
CA
01
—
BC457A
MEDICARE PTAN
—
Enumeration date
11/30/2006
Last updated
09/09/2015
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