Individual
BRADLEY HOWARD CHESLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1955 CITRACADO PKWY, SUITE 203, ESCONDIDO, CA 92029-4110
(858) 673-9991
Mailing address
1955 CITRACADO PKWY, SUITE 203, ESCONDIDO, CA 92029-4110
(858) 673-9991
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A43963
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A43963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A439630
—
CA
05
—
00A439631
—
CA
01
—
125649400
U.S DEPARTMENT OF LABOR
—
01
—
1505013
BLUE SHIELD NUMBER
CA
01
—
330362515920250000
TRICARE PROVIDER NUMBER
CA
Enumeration date
05/24/2005
Last updated
09/15/2015
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