Individual
MR. BERNARDO ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
NAVAL SPECIAL WARFARE COMMAND 2000 TRIDENT WAY BLDG 624, SAN DIEGO, CA 92155-0001
(619) 537-1171
Mailing address
NAVAL SPECIAL WARFARE COMMAND 2000 TRIDENT WAY BLDG 624, SAN DIEGO, CA 92155-0001
(619) 537-1171
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
61853
CA
Other
Enumeration date
05/02/2012
Last updated
04/10/2024
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