Bernoulli, Paul Robert
Bernoulli, Paul Robert is an sole proprietor health care provider with primary practice located at 301 Victoria St , Costa Mesa CA 92627-1995. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as his primary health care specialty. Bernoulli, Paul Robert can be contacted via phone (949) 642-2734.Contact Information
Primary practice address
301 Victoria St
Costa Mesa CA 92627-1995
Phone: (949) 642-2734
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent | 163WP0807X | 628912 | California |
Profile Details
| NPI number | 1558943860 |
|---|---|
| LBN Legal business name | Bernoulli, Paul Robert |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2021 |
| Last updated | May 6th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558943860 | NPPES |
| California | MEDICAID | 1234 |
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