Individual
BERNARD ALCOBA QUISMUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2600 REDONDO AVE, SUITE 501, LONG BEACH, CA 90806-2325
(562) 933-0085
(562) 933-0088
Mailing address
2600 REDONDO AVE, SUITE 501, LONG BEACH, CA 90806-2325
(562) 933-0085
(562) 933-0088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14509
PA-C LICENSE
CA
Enumeration date
04/25/2007
Last updated
07/08/2007
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