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MARIO SAN BARTOLOME MD MBA A PROFESSIONAL CORPORATION NPI 1184025553


NPI Information

NPI: 1184025553
Provider Name: MARIO SAN BARTOLOME, MD, MBA, A PROFESSIONAL CORPORATION
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1760 TERMINO AVE
SUITE 223
LONG BEACH, CA
ZIP 90804
Phone: (562) 394-2469
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MARIO SAN BARTOLOME, MD, MBA, A PROFESSIONAL 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. MARIO SAN BARTOLOME, MD, MBA, A PROFESSIONAL CORPORATION NPI is 1184025553. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1760 TERMINO AVE
SUITE 223
LONG BEACH, CA
ZIP 90804-105
Phone: (562) 394-2469

The provider's authorized official is Mario San Bartolome .
The authorized official title is President and has the following contact phone number (562) 394-2469.

The enumeration date for this NPI number is 9/4/2014 and was last updated on 9/4/2014.


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
1174400000XSpecialistA89818CALIFORNIAYes

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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