Provider Demographics
NPI:1689812307
Name:BERNARDINO, JAMES V (CPO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:V
Last Name:BERNARDINO
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 21ST STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4002
Mailing Address - Country:US
Mailing Address - Phone:661-322-1005
Mailing Address - Fax:661-322-0528
Practice Address - Street 1:1524 21ST STREET
Practice Address - Street 2:SUITE B
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4002
Practice Address - Country:US
Practice Address - Phone:661-322-1005
Practice Address - Fax:661-322-0528
Is Sole Proprietor?:No
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist