Marinette Gonzales Bernardo in Stockton - Internal Medicine

Marinette Gonzales Bernardo - NPI 1154426179

Marinette Gonzales Bernardo is a Internal Medicine in Stockton, California. Marinette Gonzales Bernardo practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Marinette Gonzales Bernardo is 1154426179. The last update date is 2013-02-01.

Marinette Gonzales Bernardo's current location address is 1721 E Hammer Ln Ste A, Stockton, California. You can contact this provider via phone number 2093732829. The mailing address for Marinette Gonzales Bernardo is 1721 E Hammer Ln Ste A, Stockton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Marinette Gonzales Bernardo
Address 1721 E Hammer Ln Ste A, Stockton, California
Phone Number 2093732829
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1154426179
Provider Enumeration Date 2006-09-14
Last Updated Date 2013-02-01

Provider Mailing Address Detail

Address 1721 E Hammer Ln Ste A
City Stockton
State California (CA)
Post Code 952104124
Phone Number 2093732829
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No A96571
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A965710 CA --

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FAQs about Marinette Gonzales Bernardo

What is the Marinette Gonzales Bernardo's unique identification number?

The Marinette Gonzales Bernardo has been assigned the NPI (National Provider Identifier) Number 1154426179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Marinette Gonzales Bernardo?

The Marinette Gonzales Bernardo is situated at 1721 E Hammer Ln Ste A, in the city of Stockton, state of CA, with the zip code 952104124.

What is Marinette Gonzales Bernardo's specialized field of practice, and what is the corresponding taxonomy classification code?

The Marinette Gonzales Bernardo's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did Marinette Gonzales Bernardo receive its 1154426179 assignment from the Centers for Medicare & Medicaid Services?

The Marinette Gonzales Bernardo was assigned its 1154426179 on 2006-09-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Marinette Gonzales Bernardo last refreshed?

The information related to the Marinette Gonzales Bernardo, including its address, specialty, and other relevant details, was last updated on 2013-02-01.

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