Sophia Le Bradley, DO | |
130 Cedar Rd, Vista, CA 92083-5102 | |
(760) 806-5500 | |
Not Available |
Full Name | Sophia Le Bradley |
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Gender | Female |
Speciality | Family Medicine |
Location | 130 Cedar Rd, Vista, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073952362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 15519 (California) | Primary |
Entity Name | Scripps Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822 |
Mailing Address | Practice Location Address |
---|---|
Sophia Le Bradley, DO 10790 Rancho Bernardo Rd # 4s-205, San Diego, CA 92127-5705 Ph: (760) 806-5500 | Sophia Le Bradley, DO 130 Cedar Rd, Vista, CA 92083-5102 Ph: (760) 806-5500 |
Mary C. Cueva, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 326 S Melrose Dr Ste 200, Vista, CA 92081 Phone: 866-228-2236 Fax: 760-330-9331 | |
James V. Chabala, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 840 Townsite Dr, Vista, CA 92084 Phone: 760-630-2422 | |
Kristina Lepard, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 204 S Santa Fe Ave, Vista, CA 92084 Phone: 760-941-8888 | |
Mrs. Deisha Malones Wilson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Thunder Dr, Vista, CA 92083 Phone: 760-941-9002 Fax: 760-630-2515 | |
Ms. Juvy Escalante, PA Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 S Santa Fe Ave, Vista, CA 92084 Phone: 760-473-0444 | |
Alexander Shaft, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 Cedar Rd, Vista, CA 92083 Phone: 760-806-5431 |