Provider Demographics
NPI:1952726200
Name:BERTRAND, ALAIN FRANCOIS
Entity Type:Individual
Prefix:MR
First Name:ALAIN
Middle Name:FRANCOIS
Last Name:BERTRAND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4808 HOLLOW CORNER RD UNIT 138
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-8588
Mailing Address - Country:US
Mailing Address - Phone:310-558-0546
Mailing Address - Fax:
Practice Address - Street 1:4808 HOLLOW CORNER RD UNIT 138
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-8588
Practice Address - Country:US
Practice Address - Phone:310-558-0546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA121912278G1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278G1100XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedGeneral Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA22Medicare UPIN