Individual provider · Type 1 NPI

Laura Bradley, PA-C

Medical Physician Assistant · Chula Vista, CA

NPI number 1902359607 Active

Practice location

480 4th Ave, Suite 307
Chula Vista, CA 91910-4410

Call (619) 426-3240 Map

Fax (619) 426-5964

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X53585 (CA)
Surgical Physician Assistant 363AS0400X53585 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1902359607

Laura Bradley, PA-C's National Provider Identifier is 1902359607, issued on Jul 28, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chula Vista, CA. The record was last updated on Jul 28, 2016.