Provider Demographics
NPI:1710088729
Name:BARTLEY, ISAAC ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:ANTHONY
Last Name:BARTLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1560 E CHEVY CHASE DR STE 225
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4156
Mailing Address - Country:US
Mailing Address - Phone:818-956-7507
Mailing Address - Fax:818-217-8190
Practice Address - Street 1:1560 E CHEVY CHASE DR STE 225
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4156
Practice Address - Country:US
Practice Address - Phone:818-956-7507
Practice Address - Fax:818-217-8190
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG50351207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA51648Medicare UPIN