Bernardette Medina Gholami
Rehabilitation Practitioner
3787 S Vermont Ave
Los Angeles
, California 90007-4203
Bernardette Medina Gholami
Rehabilitation Practitioner
3787 S Vermont Ave
Los Angeles
, California 90007-4203
(323) 766-2345
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Bernardette Medina Gholami
- 3787 S Vermont Ave
- Los Angeles, CA
- Zip : 90007-4203
- Phone : (323) 766-2345
Second Address
- Bernardette Medina Gholami
- 3787 S Vermont Ave
- Los Angeles, CA
- Zip : 90007-4203
- Phone : (323) 766-2345
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1023397130 |
|---|---|
| Provider Name | Bernardette Medina Gholami |
| First Address | Los Angeles, CA 90007-4203 |
| Second Address | Los Angeles, CA 90007-4203 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2011 |
| Last Update Date | 30/09/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.