Individual
ISSA G. ALESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
399 E HIGHLAND AVE, SUITE 307, SAN BERNARDINO, CA 92404-3808
(909) 881-7400
(909) 881-5217
Mailing address
399 E HIGHLAND AVE, SUITE 307, SAN BERNARDINO, CA 92404-3808
(909) 881-7400
(909) 881-5217
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A128313
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A128313
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
IA081493
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
06/29/2006
Last updated
10/13/2015
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