Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 46559 | CA |
NPI | 1003019175 |
---|---|
Provider Name | Dr. Alenush D Bernardi |
First Address | La Canada Flintridge, CA 91011-1840 |
Second Address | Glendale, CA 91202-2567 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 21/08/2014 |