Individual
BRAD LANDON GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1155 3RD AVE, CHULA VISTA, CA 91911-3136
(619) 598-1764
Mailing address
1155 3RD AVE, CHULA VISTA, CA 91911-3136
(619) 598-1764
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
07/29/2025
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