Organization
GEORGE A. BERNALES, M.D.,INC.
Active
Other names
CLINICA MEDICA BERNALES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE ASIS BERNALES M.D. (OWNER/PHYSICIAN)
(323) 583-2718
Entity
Organization
Contact information
Practice address
2766 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-5747
(323) 583-2718
(323) 583-1587
Mailing address
5235 DAHLIA DR, LOS ANGELES, CA 90041-1406
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A47861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A478611
—
CA
Enumeration date
09/22/2010
Last updated
09/22/2010
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