Kadesky, Yale Mitchell

Kadesky, Yale Mitchell is an sole proprietor health care provider with primary practice located at 1045 E Pennsylvania Ave , Escondido CA 92025-4616. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kadesky, Yale Mitchell can be contacted via phone (760) 741-5466.

Contact Information

Primary practice address
1045 E Pennsylvania Ave Escondido CA 92025-4616
Fax: (760) 741-5656
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C50002 California

Profile Details

NPI number 1437343605
LBN Legal business name Kadesky, Yale Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2007
Last updated Jan 29th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437343605 NPPES
California MEDICAID 00C500020

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