| Mr Eddie James Bernal Jr, | |
|
503 Ocean Front Walk, Venice, CA 90291-2403 | |
| (866) 671-9392 | |
| Not Available |
| Full Name | Mr Eddie James Bernal Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 503 Ocean Front Walk, Venice, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487242574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Eddie James Bernal Jr, 503 Ocean Front Walk, Venice, CA 90291-2403 Ph: (888) 671-9392 | Mr Eddie James Bernal Jr, 503 Ocean Front Walk, Venice, CA 90291-2403 Ph: (866) 671-9392 |
Jorge Guerreiro Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Patricia Guadalupe Rivas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 Lincoln Blvd., Venice, CA 90291 Phone: 310-399-9883 Fax: 310-399-9678 | |
Bannupriya Ramachandran, Counselor Medicare: Medicare Enrolled Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Quesean Gregory, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Ocean Front Walk, Venice, CA 90291 Phone: 310-392-3070 | |
Mr. Henry R. Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Ocean Front Walk, Venice, CA 90291 Phone: 310-392-3070 | |
Destiny Starlena Howell, MSW, MPH Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Adriana Eversole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 650-438-9060 |