Provider Demographics
NPI:1548404486
Name:MARGARITA J BERNETT, M.D., INC.
Entity Type:Organization
Organization Name:MARGARITA J BERNETT, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:J
Authorized Official - Last Name:BERNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-230-2420
Mailing Address - Street 1:7801 CENTER AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-9110
Mailing Address - Country:US
Mailing Address - Phone:714-230-2420
Mailing Address - Fax:
Practice Address - Street 1:7801 CENTER AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-9110
Practice Address - Country:US
Practice Address - Phone:714-230-2420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG63625208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty