Bernadette Bohol, FNP-BC | |
304 W. F Street, Ontario, CA 91762 | |
(909) 281-2262 | |
Not Available |
Full Name | Bernadette Bohol |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 304 W. F Street, Ontario, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649997800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 95021749 (California) | Primary |
Entity Name | Unicare Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265854061 PECOS PAC ID: 8426369067 Enrollment ID: O20150623001589 |
Mailing Address | Practice Location Address |
---|---|
Bernadette Bohol, FNP-BC 6458 N Barro Lane, San Bernardino, CA 92407 Ph: (951) 403-7840 | Bernadette Bohol, FNP-BC 304 W. F Street, Ontario, CA 91762 Ph: (909) 281-2262 |
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