Individual
BENJAMIN BARLOW SRIVIRIYA BERNARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, PHN
Contact information
Practice address
133 N SUNOL DR, LOS ANGELES, CA 90063-1429
(323) 362-1420
Mailing address
133 N SUNOL DR, LOS ANGELES, CA 90063-1429
(323) 362-1420
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
95236859
CA
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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