Organization
BERNARD MONDERER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD MONDERER MD (OWNER)
(818) 786-0710
Entity
Organization
Contact information
Practice address
15211 VANOWEN ST, STE 210, VAN NUYS, CA 91405-3606
(818) 786-0710
(818) 786-0712
Mailing address
15211 VANOWEN ST, STE 210, VAN NUYS, CA 91405-3606
(818) 786-0710
(818) 786-0712
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G34153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3059218
—
CA
Enumeration date
12/01/2005
Last updated
08/22/2020
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