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FAUSTINO BERNADETT JR MD INC A PROFESSIONAL MEDICAL CORPORATION NPI 1063664514


NPI Information

NPI: 1063664514
Provider Name: FAUSTINO BERNADETT JR MD INC A PROFESSIONAL MEDICAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1040 ELM AVE
100
LONG BEACH, CA
ZIP 90813
Phone: (714) 973-2650
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FAUSTINO BERNADETT JR MD INC A PROFESSIONAL MEDICAL CORPORATION is a specialist in Long Beach, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FAUSTINO BERNADETT JR MD INC A PROFESSIONAL MEDICAL CORPORATION NPI is 1063664514. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1040 ELM AVE
100
LONG BEACH, CA
ZIP 90813-264
Phone: (714) 973-2650
Fax: (714) 973-2655

The provider's authorized official is Faustino Bernadett .
The authorized official title is President and has the following contact phone number (714) 973-2650.

The enumeration date for this NPI number is 10/15/2008 and was last updated on 6/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistG44925CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A49810MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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