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Individual

AVIVA S BERNAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2001 S BARRINGTON AVE, #116, LOS ANGELES, CA 90025-5363
(310) 728-6193
(413) 403-4078
Mailing address
2118 WILSHIRE BLVD, #1046, SANTA MONICA, CA 90403-5784
(323) 251-4546
(413) 403-4078

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A98681
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
A98681
CA
208VP0000X
Pain Medicine Physician
A98681
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39373843
CO
05
72670045
NM
05
914491
AZ
Enumeration date
01/18/2006
Last updated
01/18/2008
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