Individual
VERNON R PERTELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
212 MESCALITA CT, OCEANSIDE, CA 92058-7953
(760) 473-0368
Mailing address
8605 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90069-4109
(760) 473-0368
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
VN144365
CA
171M00000X
Case Manager/Care Coordinator
—
—
174H00000X
Health Educator
—
—
227900000X
Registered Respiratory Therapist
RCP15962
CA
227900000X
Registered Respiratory Therapist
—
—
2279E1000X
Educational Registered Respiratory Therapist
Primary
RCP15962
CA
2279H0200X
Home Health Registered Respiratory Therapist
RCP15962
CA
2279H0200X
Home Health Registered Respiratory Therapist
—
—
Other
Enumeration date
05/03/2018
Last updated
09/24/2023
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