| Bradley A. Eli Dental Corporation | |
|
4403 Manchester Ave Suite 101 Encinitas CA 92024-4939 | |
| (760) 436-6365 | |
| (760) 436-5123 |
| Full Name | Bradley A. Eli Dental Corporation |
|---|---|
| Speciality | Pain Medicine |
| Location | 4403 Manchester Ave, Encinitas, California |
| Authorized Official Name and Position | Bradley Allen Eli (PRESIDENT) |
| Authorized Official Contact | 7604364062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley A. Eli Dental Corporation 4403 Manchester Ave Suite 101 Encinitas CA 92024-4939 Ph: (760) 436-6365 | Bradley A. Eli Dental Corporation 4403 Manchester Ave Suite 101 Encinitas CA 92024-4939 Ph: (760) 436-6365 |
| NPI Number | 1962533919 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 06/14/2022 |
| Medicare PECOS PAC ID | 1557682804 |
|---|---|
| Medicare Enrollment ID | O20150611001901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962533919 | NPI | - | NPPES |
| Provider Name | Bradley A Eli |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205948270 PECOS PAC ID: 4587718952 Enrollment ID: I20090819000640 |
| Provider Name | Bryan M Kim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962893255 PECOS PAC ID: 2668723289 Enrollment ID: I20180920002706 |
| Provider Name | Sachi Aria Mehrotra |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1093356016 PECOS PAC ID: 5092118638 Enrollment ID: I20210816001802 |
Douglas D Warner Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1443 Encinitas Blvd, Encinitas, CA 92024 Phone: 760-942-1570 Fax: 760-436-1388 | |
Neda Mobasher Dmd Professional Organization Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1534 Encinitas Blvd, Encinitas, CA 92024 Phone: 760-944-0453 Fax: 760-944-0581 | |
Toni B. Georgiades, Dds, Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 N El Camino Real Ste 406, Encinitas, CA 92024 Phone: 760-753-6124 Fax: 760-753-7241 | |
Scott M. Jordan, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 N El Camino Real, #210, Encinitas, CA 92024 Phone: 760-753-3533 | |
Dr. Jiachang Zhang, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 511 Encinitas Blvd Ste 118, Encinitas, CA 92024 Phone: 760-392-1279 |