Bernabe, Vicente R

Bernabe, Vicente R is an sole proprietor health care provider with primary practice located at 1191 Magnolia Ave Ste D-152, Corona CA 92879-3215. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bernabe, Vicente R can be contacted via phone (951) 777-6187.

Contact Information

Primary practice address
1191 Magnolia Ave Ste D-152 Corona CA 92879-3215
Fax: (951) 777-6187
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 20A7405 California

Profile Details

NPI number 1164483699
LBN Legal business name Bernabe, Vicente R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2006
Last updated Apr 12th, 2017 - about 7 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 1164483699 NPPES
California MEDICAID 00AX74050

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