Elisabeth Renee Bertoline, PA-C
Physician Assistant in Oxnard, CA. Individual provider (NPI-1).
NPI number1760636252
StatusActive
Last updated in NPPESJul 10, 2023
Details
- NPI
- 1760636252
- Entity type
- Individual (NPI-1)
- Name
- Elisabeth Renee Bertoline
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2008
- Certification date
- Jul 10, 2023
- Last updated
- Jul 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA20093 | CA | Yes |
| 363A00000X | Physician Assistant | 2766 | CO |
Other names
- Elisabeth Renee Fischetti (Former Name)
Practice location
2220 E Gonzales Rd Ste 120a-BOxnard, CA 93036-3707
Phone 805-981-5151 · Fax 805-981-5150
Mailing address
800 S Victoria Ave, L4615Vchca - Physician Services
Ventura, CA 93009-0003
Phone 805-677-5181 · Fax 805-677-5304
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