Individual
JOHN BERNARD BORNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2476 OVERLAND AVE, SUITE 201, LOS ANGELES, CA 90064-3374
(310) 559-8276
(310) 559-8263
Mailing address
2476 OVERLAND AVE, SUITE 201, LOS ANGELES, CA 90064-3374
(310) 559-8276
(310) 559-8263
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G38206
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G382060
BLUE SHIELD
CA
05
—
00G382060
—
CA
Enumeration date
07/31/2006
Last updated
07/09/2015
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