MEDICARE: DANIEL J. BRESSLER, M.D., INC.

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	207R00000X	Internal Medicine Physician	B1987010751	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	WG51760C	OTHER	CA	MEDICARE

General Provider Information

NPI Number	:	1194726117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL J. BRESSLER, M.D., INC.

Provider Business Mailing Address
First Line	:	PO BOX 231047
Second Line	:
City	:	ENCINITAS
State	:	CA
Zip	:	92023-1047
Country	:	US
Telephone Number	:	760-299-2570
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 WASHINGTON ST
Second Line	:	SUITE 705
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-2231
Country	:	US
Telephone Number	:	619-299-2570
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DANIEL J BRESSLER
Credential	:	M.D.
Telephone Number	:	619-299-2570

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	01/03/2013

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