Damian Bermudez
Rehabilitation Practitioner in San Diego, CA. Individual provider (NPI-1).
NPI number1689336299
StatusActive
Last updated in NPPESNov 9, 2026
Details
- NPI
- 1689336299
- Entity type
- Individual (NPI-1)
- Name
- Damian Bermudez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2021
- Certification date
- Nov 9, 2026
- Last updated
- Nov 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | CA | Yes |
| 103K00000X | Behavior Analyst | – | CA | |
| 101Y00000X | Counselor | – | – |
Practice location
928 BroadwaySan Diego, CA 92101-5514
Phone 619-977-3716
Mailing address
928 BroadwaySan Diego, CA 92101-5514
Phone 619-977-3716
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