Provider Demographics
NPI:1598981623
Name:BERNHOFT, ROBIN ALVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:ALVIN
Last Name:BERNHOFT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1200 MARICOPA HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-3129
Mailing Address - Country:US
Mailing Address - Phone:805-640-0180
Mailing Address - Fax:805-640-0181
Practice Address - Street 1:1200 MARICOPA HWY
Practice Address - Street 2:SUITE A
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-3129
Practice Address - Country:US
Practice Address - Phone:805-640-0180
Practice Address - Fax:805-640-0181
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG342782083T0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083T0002XAllopathic & Osteopathic PhysiciansPreventive MedicineMedical Toxicology