Eddy-Bertrand, Elizabeth

Eddy-Bertrand, Elizabeth is an individual health care provider with primary practice located at 18350 Roscoe Blvd Suite 600, Northridge CA 91325. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Eddy-Bertrand, Elizabeth can be contacted via phone (818) 727-1515.

Contact Information

Primary practice address
18350 Roscoe Blvd Suite 600 Northridge CA 91325
Phone: (818) 727-1515
Fax: (818) 727-7997
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G080676 California

Profile Details

NPI number 1669573218
LBN Legal business name Eddy-Bertrand, Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Feb 14th, 2011 - about 13 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 1669573218 NPPES
California MEDICAID GR0061720

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