Bern, Samuel Avon

Bern, Samuel Avon is an sole proprietor health care provider with primary practice located at 1280 S Victoria Ave Suite 201, Ventura CA 93003-6555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Bern, Samuel Avon can be contacted via phone (805) 642-1699.

Contact Information

Primary practice address
1280 S Victoria Ave Suite 201 Ventura CA 93003-6555
Phone: (805) 642-1699
Fax: (805) 642-1919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X G60603 California

Profile Details

NPI number 1306807862
LBN Legal business name Bern, Samuel Avon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1306807862 NPPES
California MEDICAID 9078425

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