Individual
ALEX BERNADETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4010 SORRENTO VALLEY BLVD STE 300, SAN DIEGO, CA 92121-1433
(619) 229-3920
Mailing address
4010 SORRENTO VALLEY BLVD STE 300, SAN DIEGO, CA 92121-1433
(530) 913-3931
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD60855690
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2016
Last updated
07/01/2019
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