Bradley Jay E. Professional Corporation
NPI #1689415911 in Fullerton, California
Provider Information
- NPI Number
- 1689415911
- Entity Type
- Organization
- Organization Name
- Bradley Jay E. Professional Corporation
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 3, 2024
- Last Updated
- Jun 3, 2024
Practice Location
- Address
- 2501 E CHAPMAN AVE UNIT 107-C
- City
- Fullerton
- State
- California
- ZIP Code
- 92831-3132
- Phone
- (626) 429-0088
Authorized Official
- Name
- JACKSON TEA, MD
- Title
- MANAGER
- Phone
- (626) 429-0088
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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