Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennie Bradach

Individual provider Specialist · NPI 1649025495

Jennie Bradach is a Specialist in San Diego, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024
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Practice location Address checks out

9750 Miramar Rd Ste 130
San Diego, CA 92126-4561
Phone: (858) 305-0878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6516 Canyon Crest Dr, McKinney, TX 75071-4694 — (858) 305-0878

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 9504 (CA)

Record details

NPI number1649025495
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2024
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024

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