Keovoravongsa, Bernard

Keovoravongsa, Bernard is an individual health care provider with primary practice located at 275 Beck Ave , Fairfield CA 94533-6804. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Nursing Service Related Providers / Adult Companion, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Keovoravongsa, Bernard can be contacted via phone (707) 784-8849.

Contact Information

Primary practice address
275 Beck Ave Fairfield CA 94533-6804
Phone: (707) 784-8849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-18-54877 California
Nursing Service Related Providers / Adult Companion 372600000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1992294177
LBN Legal business name Keovoravongsa, Bernard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2018
Last updated May 6th, 2025 - about last year

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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