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Search › California › 390200000X

Jonathan Bradley

NPI 1104796481 · on the registry since 2025

Practice

Address
4001 King Ave
Corcoran, CA 93212
Phone
(559) 992-8800
Organisation at this address
Csp-Corcoran
Corrections And Rehabilitation-Headquarters
Inferred from a shared address, not stated in the registry.
Clinicians at this address
58

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California