Individual
BRADLEY JAY SANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1345 GATEWAY BLVD, STE B, FAIRFIELD, CA 94533-6904
(707) 422-6500
(707) 422-6556
Mailing address
1360 BURTON DR, SUITE 150, VACAVILLE, CA 95687-3557
(707) 422-6500
(707) 422-6556
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G53878
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G538781
—
CA
Enumeration date
05/27/2005
Last updated
09/26/2014
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