Individual
JONAS LUDIVERO BERNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
644 NAPLES ST, CHULA VISTA, CA 91911-1636
(619) 744-5355
Mailing address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A64082
CA
Other
Enumeration date
08/02/2006
Last updated
03/01/2016
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