BERNARD TY

LOS ANGELES, CA
NPI1396120614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95002756)
Enumeration Date2015-07-28
Last Update Date2015-07-28
Business Address
-- BERNARD TY FNP
3920 EDENHURST AVE
LOS ANGELES, CA 90039-1616
Phone number: 323-868-2588
Mailing Address
-- BERNARD TY FNP
3920 EDENHURST AVE
LOS ANGELES, CA 90039-1616
Phone number: 323-868-2588