Organization
FAUSTINO BERNADETT JR MD INC A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAUSTINO BERNADETT JR. MD (PRESIDENT)
(714) 973-2650
Entity
Organization
Contact information
Practice address
1040 ELM AVE, 100, LONG BEACH, CA 90813-3264
(714) 973-2650
(714) 973-2655
Mailing address
PO BOX 2677, LOS ALAMITOS, CA 90720-7677
(714) 973-2650
(714) 973-2655
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G44925
CA
Other
Enumeration date
10/15/2008
Last updated
06/30/2009
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