James Bertolina in Rancho Palos Verdes - Clinical
James Bertolina - NPI 1669548624
James Bertolina is a Clinical in Rancho Palos Verdes, California. James Bertolina practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Bertolina is 1669548624. The last update date is 2007-07-08.
James Bertolina's current location address is 3713 Hightide Dr, Rancho Palos Verdes, California. You can contact this provider via phone number 3102650446. The mailing address for James Bertolina is 3713 Hightide Dr, Rancho Palos Verdes, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Bertolina |
|---|---|
| Address | 3713 Hightide Dr, Rancho Palos Verdes, California |
| Phone Number | 3102650446 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1669548624 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3713 Hightide Dr |
|---|---|
| City | Rancho Palos Verdes |
| State | California (CA) |
| Post Code | 902756136 |
| Phone Number | 3102650446 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS 3694 |
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What is the unique identifier code issued to James Bertolina by the Centers for Medicare & Medicaid Services (CMS)?
The James Bertolina has been assigned the NPI (National Provider Identifier) 1669548624. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of James Bertolina?
The James Bertolina is situated at 3713 Hightide Dr, in the city of Rancho Palos Verdes, state of CA, with the zip code 902756136.
What is the James Bertolina's specialty and taxonomy code?
The James Bertolina's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When was the James Bertolina's 1669548624 issued?
The James Bertolina's 1669548624 was issued on 2006-11-28.
As of what date were the details related to James Bertolina most recently updated or revised?
The information pertaining to James Bertolina, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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