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General NPI Number Information
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NPI Number | 1437343605
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Entity Type | Individual
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Provider Name | YALE MITCHELL KADESKY M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 1045 E PENNSYLVANIA AVE
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City | ESCONDIDO
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State | CA
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Zip | 92025-4616
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Country | US
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Telephone | 760-741-5466
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Fax | 760-741-5656
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Provider Business Mailing Address
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Address Line | 1637 E VALLEY PKWY # 222
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City | ESCONDIDO
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State | CA
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Zip | 92027-2408
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Country | US
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Telephone | 760-741-5466
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Fax | 760-741-5656
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | C50002
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License Number State | CA
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