Organization
ADVANCED ORTHOPEDICS MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICENTE BERNABE (PHYSICIAN)
(559) 589-6294
Entity
Organization
Contact information
Practice address
1560 W LACEY BLVD, SUITE 101, HANFORD, CA 93230-3581
(559) 589-6294
(559) 589-6295
Mailing address
1560 W LACEY BLVD, SUITE 101, HANFORD, CA 93230-3581
(559) 589-6294
(559) 589-6295
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A7405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A7405
LICENSE
CA
Enumeration date
01/08/2007
Last updated
11/25/2009
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