Individual provider · Type 1 NPI
Mario Fernando San Bartolome Jr., MD
Addiction Medicine (Preventive Medicine) Physician · Westminster, CA
NPI number
1154420024
Active
Practice location
5405 Garden Grove Blvd Ste 102
Westminster, CA 92683-1887
Fax (714) 422-0260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | A89818 (CA) |
| Adult Medicine Physician | 207QA0505X | A89818 (CA) |
| Specialist | 174400000X | A89818 (CA) |
| Addiction Medicine (Preventive Medicine) Physician Primary | 2083A0300X | A89818 (CA) |
Addiction Medicine (Preventive Medicine) Physician: 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.
About NPI 1154420024
Mario Fernando San Bartolome Jr., MD's National Provider Identifier is 1154420024, issued on Sep 21, 2006. The primary taxonomy on file is Addiction Medicine (Preventive Medicine) Physician (2083A0300X), and the practice location is in Westminster, CA. The record was last updated on Aug 8, 2019.