MEDICARE: BROOKE RESH SATEESH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	A109670	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DC115Z	OTHER	CA	MEDICARE PTAN

General Provider Information

NPI Number	:	1164565339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE RESH SATEESH MD

Provider Business Mailing Address
First Line	:	655 EUCLID AVE STE 304
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-2974
Country	:	US
Telephone Number	:	619-267-8303
Fax Number	:	619-267-4835

Provider Business Practice Location Address
First Line	:	655 EUCLID AVE STE 401
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-2978
Country	:	US
Telephone Number	:	619-267-8303
Fax Number	:	619-267-4835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	11/18/2025

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Directions to “ BROOKE RESH SATEESH MD” Practice Location

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