Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARIO FERNANDO SAN BARTOLOME JR., MD
ActiveDR. MARIO FERNANDO SAN BARTOLOME JR., MD is a 2083A0300X healthcare provider located in WESTMINSTER, California. NPI 1154420024 is currently active in the NPPES registry. Verify at CMS.
2083A0300X · WESTMINSTER, CA
Registration Details
- NPI Number
- 1154420024
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 21, 2006 (19.929781096437 yrs)
- Last Updated
- Aug 8, 2019
- Licenses
-
A89818 (CA)A89818 (CA)A89818 (CA)A89818 (CA)
Practice Information
- Address
-
5405 GARDEN GROVE BLVD STE 102WESTMINSTER, CA, 926831887Browse CA providers · Browse ZIP 92683
- Phone
- 7145983707
- Fax
- 7144220260
- Primary Specialty
-
2083A0300X
2083A0300X
- Additional Specialty
- Adolescent Medicine
- Additional Specialty
- Specialist
- Additional Specialty
- 2083A0300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.