Bernal, Bridget

Bernal, Bridget is an individual health care provider with primary practice located at 22115 Roscoe Blvd , Canoga Park CA 91304-3839. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Bernal, Bridget can be contacted via phone (818) 884-8100.

Contact Information

Primary practice address
22115 Roscoe Blvd Canoga Park CA 91304-3839
Phone: (818) 884-8100
Fax: (818) 884-7808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1992249601
LBN Legal business name Bernal, Bridget
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2016
Last updated Dec 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992249601 NPPES
California MEDICAID 7283

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