Quismundo, Bernard Alcoba

Quismundo, Bernard Alcoba is an individual health care provider with primary practice located at 2600 Redondo Ave Suite 501, Long Beach CA 90806-2325. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Quismundo, Bernard Alcoba can be contacted via phone (562) 933-0085.

Contact Information

Primary practice address
2600 Redondo Ave Suite 501 Long Beach CA 90806-2325
Phone: (562) 933-0085
Fax: (562) 933-0088
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 14509 California

Profile Details

NPI number 1528287588
LBN Legal business name Quismundo, Bernard Alcoba
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
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 1528287588 NPPES
California Other 14509 PA-C LICENSE

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