Canon Medical Group Inc

NPI 1023097631 - Internal Medicine - 207RN0300X

NPI Details
NPI 1023097631
Enumeration Date 01/11/2006
Last Updated 12/17/2015
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name BERNARD BERNARD
Position PHYSICIAN
Phone (310) 274-7300
Fax (310) 274-7301
Practice Location
414 N CAMDEN DR
SUITE 775
BEVERLY HILLS CA, 90210-4532, US
Phone (310) 274-7300
Fax (310) 274-7301
Business Location
9777 WILSHIRE BLVD
STE 512
BEVERLY HILLS CA, 90212-1905, US
Phone (310) 967-3300
Fax (310) 967-3377
Toxanomy
Taxonomy Code 207RN0300X
License State California
License Number W7122
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According to our database, Canon Medical Group Inc NPI is 1023097631, taxonomy code is 207RN0300X and license number is W7122, license state is located at California. Canon Medical Group Inc physically located at 414 N Camden Dr, Beverly Hills CA, 90210-4532. NPI Number 1033115704 has the healthcare provider type.

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1023097631 NPI number is provided on an as is basis without warranty of any kind. 1023097631 is maintained by the National Plan & Provider Enumeration System. The contents of Canon Medical Group Inc are for informational purposes only.