Bernadette Liset Robles
Counselor, Addiction (Substance Use Disorder) in San Pedro, CA. Individual provider (NPI-1).
Details
- NPI
- 1154089712
- Entity type
- Individual (NPI-1)
- Name
- Bernadette Liset Robles
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 1, 2021
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
235 W 9th StSan Pedro, CA 90731-3711
Phone 310-521-9209 · Fax 310-521-9241
Mailing address
235 W 9th StSan Pedro, CA 90731-3711
Phone 310-521-9209 · Fax 310-521-9241
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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