Individual
BERNARD T MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1241 S GLENDALE AVE STE 201, GLENDALE, CA 91205-3388
(818) 244-5444
Mailing address
26895 ALISO CREEK RD STE B516, ALISO VIEJO, CA 92656-5300
(310) 480-4770
(310) 943-3274
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G36838
CA
207R00000X
Internal Medicine Physician
Primary
G36838
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G368380
BLUE SHIELD
CA
05
—
00G368380
—
CA
01
—
930128595
RAILROAD MEDICARE
CA
Enumeration date
07/20/2006
Last updated
06/11/2021
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