Individual provider · NPI-1

Bob Naim Bernaba, M.D.

Pathology, Clinical Pathology/Laboratory Medicine · San Diego, CA

NPI number1053547075
StatusActive
Last updated in NPPESNov 3, 2021

Details

NPI
1053547075
Entity type
Individual (NPI-1)
Name
Bob Naim Bernaba
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jun 4, 2009
Certification date
Nov 3, 2021
Last updated
Nov 3, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0105X Pathology, Clinical Pathology/Laboratory MedicineA103834CAYes
207ZD0900X Pathology, DermatopathologyA103834CA

Practice location

2020 Genesee Ave
San Diego, CA 92123-4219

Phone 858-616-8033

Mailing address

2020 Genesee Ave
San Diego, CA 92123-4219

Phone 858-616-8033

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