Organization
BERNARD RECHT, PH.D., M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD RECHT PH.D. M.D. (OWNER)
(408) 736-0441
Entity
Organization
Contact information
Practice address
603 S KNICKERBOCKER DR, SUNNYVALE, CA 94087-1034
(408) 736-0441
(408) 736-0722
Mailing address
603 S KNICKERBOCKER DR, SUNNYVALE, CA 94087-1034
(408) 736-0441
(408) 736-0722
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G52967
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0592715
MEDICARE AUTHORIZATION & CLIA #
CA
01
—
1780617100
INDIVIDUAL NPI
CA
Enumeration date
12/01/2008
Last updated
12/01/2008
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