Provider Demographics
NPI:1407560360
Name:BERNARDINO, DINDO RIMANDO (LVN)
Entity Type:Individual
Prefix:
First Name:DINDO
Middle Name:RIMANDO
Last Name:BERNARDINO
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4544 SAN FERNANDO RD STE 201
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-5015
Mailing Address - Country:US
Mailing Address - Phone:818-240-8843
Mailing Address - Fax:
Practice Address - Street 1:4544 SAN FERNANDO RD STE 201
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-5015
Practice Address - Country:US
Practice Address - Phone:818-240-8843
Practice Address - Fax:818-240-8885
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA720577164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse