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Individual

RICHARD A BERNSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4400 CAPITOLA RD, SUITE 200, CAPITOLA, CA 95010-3571
(408) 364-6799
(408) 378-4510
Mailing address
4170 GROSS ROAD EXT, STE 6, CAPITOLA, CA 95010-2054
(561) 241-9300
(561) 515-8865

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20A6688
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
77-0458316
TAX ID
CA
Enumeration date
09/11/2006
Last updated
01/25/2017
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