Organization
DIOGENES ANESTHESIA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAUSTINO BERNADETT M.D. (PRESIDENT)
(562) 491-2145
Entity
Organization
Contact information
Practice address
2776 PACIFIC AVE, LONG BEACH, CA 90806-2613
(562) 997-2000
Mailing address
PO BOX 22678, LONG BEACH, CA 90801-5678
(562) 491-2145
(562) 432-0656
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0090000
—
CA
Enumeration date
05/20/2006
Last updated
08/22/2020
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