Monderer, Bernard

Monderer, Bernard is an individual health care provider with primary practice located at 15211 Vanowen St Suite 210, Van Nuys CA 91405-3606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Monderer, Bernard can be contacted via phone (818) 786-0710.

Contact Information

Primary practice address
15211 Vanowen St Suite 210 Van Nuys CA 91405-3606
Phone: (818) 786-0710
Fax: (818) 786-0712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G34153 California

Profile Details

NPI number 1548289671
LBN Legal business name Monderer, Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 10th, 2008 - about 18 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 1548289671 NPPES
California MEDICAID 00G341530

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