Ronald Melvin Bedford Jr., NP-C
Nurse Practitioner, Family in San Diego, CA. Individual provider (NPI-1).
NPI number1255613402
StatusActive
Last updated in NPPESMar 21, 2017
Details
- NPI
- 1255613402
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ronald Melvin Bedford Jr.
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 14, 2011
- Last updated
- Mar 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 21299 | CA | Yes |
Practice location
5000 N Harbor DrSte 200
San Diego, CA 92106-2386
Phone 760-847-7948
Mailing address
5000 N Harbor Dr Ste 200San Diego, CA 92106-2386
Phone 760-472-8205
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