Bermudez Vera, Johanna

Bermudez Vera, Johanna is an sole proprietor health care provider with primary practice located at 2810 Camino Del Rio S Ste 102 , San Diego CA 92108-3819. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Nursing Service Providers / Psychiatric/Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Bermudez Vera, Johanna can be contacted via phone (619) 299-1419.

Contact Information

Primary practice address
2810 Camino Del Rio S Ste 102 San Diego CA 92108-3819
Phone: (619) 299-1419
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 95119476 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 95119476 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95017611 California

Profile Details

NPI number 1639647647
LBN Legal business name Bermudez Vera, Johanna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2018
Last updated Sep 20th, 2021 - about 5 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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