Mario Fernando San Bartolome in Westminster - Addiction Medicine
Mario Fernando San Bartolome - NPI 1154420024
Mario Fernando San Bartolome is a Addiction Medicine in Westminster, California. Mario Fernando San Bartolome practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Mario Fernando San Bartolome is 1154420024. The last update date is 2019-08-08.
Mario Fernando San Bartolome's current location address is 5405 Garden Grove Blvd Ste 102, Westminster, California. You can contact this provider via phone number 7145983707 and fax number 7144220260. The mailing address for Mario Fernando San Bartolome is 5405 Garden Grove Blvd Ste 102, Westminster, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mario Fernando San Bartolome |
|---|---|
| Address | 5405 Garden Grove Blvd Ste 102, Westminster, California |
| Phone Number | 7145983707 |
| Fax Number | 7144220260 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154420024 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2019-08-08 |
Provider Mailing Address Detail
| Address | 5405 Garden Grove Blvd Ste 102 |
|---|---|
| City | Westminster |
| State | California (CA) |
| Post Code | 926831887 |
| Phone Number | 7145983707 |
| Fax Number | 7144220260 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2083A0300X |
| Licence No | A89818 |
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Definition: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. |
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What is the unique 10-digit identification code issued to Mario Fernando San Bartolome by the Centers for Medicare & Medicaid Services?
The Mario Fernando San Bartolome has been assigned the NPI (National Provider Identifier) 1154420024 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Mario Fernando San Bartolome is physically located?
The Mario Fernando San Bartolome is physically situated at the following address: 5405 Garden Grove Blvd Ste 102, Westminster, CA, 926831887.
What is the Mario Fernando San Bartolome's specialty and taxonomy code?
The Mario Fernando San Bartolome's specialty is Addiction Medicine, and the corresponding taxonomy code is 2083A0300X.
When was the Mario Fernando San Bartolome's 1154420024 issued?
The Mario Fernando San Bartolome's 1154420024 was issued on 2006-09-21.
When was the information pertaining to Mario Fernando San Bartolome most recently updated or revised?
The details related to Mario Fernando San Bartolome, including its address, specialty, and other relevant information, were last updated or revised on 2019-08-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA