Pendergraph, Bernadette
Pendergraph, Bernadette is an individual health care provider with primary practice located at 21840 Normandie Ave Ste. 700, Torrance CA 90502-2047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Pendergraph, Bernadette can be contacted via phone (310) 222-5101.Contact Information
Primary practice address
21840 Normandie Ave Ste. 700
Torrance CA 90502-2047
Phone: (310) 222-5101
Fax: (310) 320-5463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | A64117 | California |
Profile Details
| NPI number | 1184634016 |
|---|---|
| LBN Legal business name | Pendergraph, Bernadette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1184634016 | NPPES |
| California | MEDICAID | 00A641170 |
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