Individual
BRADLEY JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7695 CARDINAL CT STE 100, SAN DIEGO, CA 92123-3357
(858) 609-7100
Mailing address
7695 CARDINAL CT STE 100, SAN DIEGO, CA 92123-3357
(858) 609-7100
(858) 609-7106
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
A185917
CA
Other
Enumeration date
04/02/2016
Last updated
09/12/2025
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