Doctor Name: | DR. BERNALIZA LABAN ARCE |
NPI Number: | 1093080590 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 018281 |
Business Practice Address: | 2240 E Plaza Blvd National City, CA - 919505164 |
Business Phone Number: | 6194755767 |
Business Fax Number: | 6194755417 |
Mailing Address: | 584 Parkwood Dr, SAN DIEGO |
State: | CA |
Postal Code: | 921391309 |
Phone Number: | 7604905832 |
Fax Number: | 6194755417 |
NPI Enumeration Date: | 03/15/2012 |
NPI Last Update Date: | 03/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 018281 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |