Elizondo, Bernardo
Elizondo, Bernardo is an individual health care provider with primary practice located at Naval Special Warfare Command 2000 Trident Way Bldg 624 , San Diego CA 92155-0001. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Elizondo, Bernardo can be contacted via phone (619) 537-1171.Contact Information
Primary practice address
Naval Special Warfare Command 2000 Trident Way Bldg 624
San Diego CA 92155-0001
Phone: (619) 537-1171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 61853 | California |
Profile Details
| NPI number | 1790043248 |
|---|---|
| LBN Legal business name | Elizondo, Bernardo |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2012 |
| Last updated | Apr 10th, 2024 - about 2 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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