Healthcare Provider Details

I. General information

NPI: 1386831055
Provider Name (Legal Business Name): BRADFORD DEAN CASE D.C., N.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 02/09/2024
Certification Date: 02/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4110 SORRENTO VALLEY BLVD.
SAN DIEGO CA
92121
US

IV. Provider business mailing address

2930 FIRST AVENUE
SAN DIEGO CA
92103
US

V. Phone/Fax

Practice location:
  • Phone: 831-663-2284
  • Fax: 831-663-2288
Mailing address:
  • Phone: 831-915-6783
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND1081
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0232200
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: