San Bartolome, Mario Fernando

San Bartolome, Mario Fernando is an individual health care provider with primary practice located at 5405 Garden Grove Blvd Ste 102 , Westminster CA 92683-1887. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Adult Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. San Bartolome, Mario Fernando can be contacted via phone (714) 598-3707.

Contact Information

Primary practice address
5405 Garden Grove Blvd Ste 102 Westminster CA 92683-1887
Phone: (714) 598-3707
Fax: (714) 422-0260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X A89818 California
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X A89818 California
Other Service Providers / Specialist 174400000X A89818 California

Profile Details

NPI number 1154420024
LBN Legal business name San Bartolome, Mario Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Aug 8th, 2019 - 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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