Bernard J. Lichtenstein, M.D.
Internal Medicine in San Diego, CA. Individual provider (NPI-1).
Details
- NPI
- 1104878073
- Entity type
- Individual (NPI-1)
- Name
- Bernard J. Lichtenstein
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2006
- Certification date
- Oct 8, 2025
- Last updated
- Oct 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A37396 | CA | Yes |
Practice location
8853 Spectrum Center Blvd Apt 7111San Diego, CA 92123-1470
Phone 619-550-8862
Mailing address
1329 Garfield StCalexico, CA 92231-4308
Phone 619-361-0123 · Fax 877-929-2504
Other practice locations
San Diego, CA 92123-1470
Phone 619-550-8862
San Diego, CA 92117-4962
Phone 619-550-8862 · Fax 877-929-2504
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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