Individual
MR. BERNARD BUDNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
110 JENSEN CT, SUITE 2C, THOUSAND OAKS, CA 91360-7483
(805) 413-1070
(805) 413-1076
Mailing address
1220 LA VENTA DR, SUITE 102, WESTLAKE VILLAGE, CA 91361-3703
(805) 777-7370
(805) 777-7380
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18445
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043236078
WLV GROUP NPI #
CA
01
—
1558498337
TO GROUP NPI #
CA
01
—
18445
PT LICENSE
CA
Enumeration date
07/14/2006
Last updated
05/17/2008
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