Individual
DR. VICENTE R BERNABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1191 MAGNOLIA AVE, STE D-152, CORONA, CA 92879-3215
(951) 777-6187
(951) 777-6187
Mailing address
1191 MAGNOLIA AVE, SUITE D-152, CORONA, CA 92879-3215
(951) 777-6187
(951) 777-6187
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A7405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX74050
—
CA
Enumeration date
04/02/2006
Last updated
04/12/2017
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