| Bradley William Dea, | |
|
1000 S Fremont Ave Unit 7, Alhambra, CA 91803-8897 | |
| (626) 457-4254 | |
| (626) 457-4245 |
| Full Name | Bradley William Dea |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 1000 S Fremont Ave Unit 7, Alhambra, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205546991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| California Wound Healing Medical Group Inc. | 7315033198 | 21 |
| Entity Name | California Wound Healing Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235333972 PECOS PAC ID: 7315033198 Enrollment ID: O20071010000465 |
| Entity Name | Healing Edge Medical Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982432506 PECOS PAC ID: 2062951635 Enrollment ID: O20240827002556 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley William Dea, 1137 Ridgeside Dr, Monterey Park, CA 91754-3730 Ph: (626) 665-3648 | Bradley William Dea, 1000 S Fremont Ave Unit 7, Alhambra, CA 91803-8897 Ph: (626) 457-4254 |
Jessica Lee Palmer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave Ste N10100, Alhambra, CA 91803 Phone: 626-457-4240 |
Krystal Espinoza, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave, Alhambra, CA 91803 Phone: 626-457-4240 |
Sonya Tang, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1024 S Garfield Ave, Alhambra, CA 91801 Phone: 626-289-5181 |
Jaspreet Kaur, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 South Fremont Avenue Unit 7, Bldg. A10, Ste.n10100, Alhambra, CA 91803 Phone: 626-457-4240 |
Courtney Boucher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 503 N Story Pl, Alhambra, CA 91801 Phone: 626-484-6732 |
Monica Khun, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1668 S Garfield Ave Fl 2, Alhambra, CA 91801 Phone: 626-943-6476 Fax: 626-900-9558 |
Jack Theodore Ezzedine, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S Fremont Ave, Alhambra, CA 91803 Phone: 626-457-4240 |