Dr. Mario Fernando San Bartolome JR.
Family Doctor - Adult Medicine
5405 Garden Grove Blvd Ste 102
Westminster
, California 92683-1887
Dr. Mario Fernando San Bartolome JR.
Family Doctor - Adult Medicine
5405 Garden Grove Blvd Ste 102
Westminster
, California 92683-1887
(714) 422-0260
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Mario Fernando San Bartolome JR.
- 5405 Garden Grove Blvd Ste 102
- Westminster, CA
- Zip : 92683-1887
- Fax : (714) 422-0260
- Phone : (714) 598-3707
Second Address
- Dr. Mario Fernando San Bartolome JR.
- 5405 Garden Grove Blvd Ste 102
- Westminster, CA
- Zip : 92683-1887
- Fax : (714) 422-0260
- Phone : (714) 598-3707
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0505X | Family Doctor - Adult Medicine | A89818 | CA |
National Provider Identifier
| NPI | 1154420024 |
|---|---|
| Provider Name | Dr. Mario Fernando San Bartolome JR. |
| First Address | Westminster, CA 92683-1887 |
| Second Address | Westminster, CA 92683-1887 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 08/08/2019 |
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.