Individual
DR. BERNARD MONDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15211 VANOWEN ST, SUITE 210, VAN NUYS, CA 91405-3606
(818) 786-0710
(818) 786-0712
Mailing address
15211 VANOWEN ST, SUITE 210, VAN NUYS, CA 91405-3606
(818) 786-0710
(818) 786-0712
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G34153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G341530
—
CA
Enumeration date
07/19/2006
Last updated
04/10/2008
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