Individual
GERARD JOSEPH BERNAL SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313-5172
(951) 654-0803
Mailing address
786 NEWBURY WAY, DIAMOND BAR, CA 91765-4625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT36072-TLG
CA
Other
Enumeration date
07/15/2025
Last updated
07/22/2025
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