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Dr. Mario Fernando San Bartolome JR., MD
Addiction Medicine (Preventive Medicine) Physician in Westminster, California
NPI 1154420024

Mario Fernando San Bartolome JR. is an Addiction Medicine (Preventive Medicine) Physician based in Westminster, CA and is specialized in Addiction Medicine. Mario Fernando San Bartolome JR. practices in Westminster, CA and has the professional credentials of MD. The NPI Number for Mario Fernando San Bartolome JR. is 1154420024 and holds a License No. A89818 (California).

The current practice location address for Mario Fernando San Bartolome JR. is 5405 Garden Grove Blvd Ste 102, Westminster, CA and can be reached out via phone at 714-598-3707 and via fax at 714-422-0260.

Location: 5405 Garden Grove Blvd Ste 102, Westminster, CA, 92683-1887
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154420024
Provider Name
Mario Fernando San Bartolome JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5405 Garden Grove Blvd Ste 102, Westminster, CA, 92683-1887
Phone Number
714-598-3707
Fax Number
714-422-0260
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5405 Garden Grove Blvd Ste 102
City
Westminster
State
California
Zip
92683-1887
Phone Number
714-598-3707
Fax Number
714-422-0260
person
Provider Business Mailing Address Details
Address
5405 Garden Grove Blvd Ste 102
City
Westminster
State
California
Zip
92683-1887
Phone Number
714-598-3707
Fax Number
714-422-0260
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A89818 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
A89818 (California)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
A89818 (California)
Definition
Definition to come.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Preventive Medicine
Speciality
Addiction Medicine
Taxonomy
2083A0300X
License No.
A89818 (California)
Definition
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
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