Individual provider · Type 1 NPI
Jean William Bardenheier, MD
General Practice Physician · Glendora, CA
NPI number
1780620138
Active
Practice location
552 W Foothill Blvd # 100
Glendora, CA 91741-2470
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Other practice locations
- 914 E Gladstone St, Azusa, CA 91702-4747 · (626) 966-4506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | G26965 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
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- Kamini Pruthi, MDGeneral Practice Physician Glendora, CA NPI 1730350638
About NPI 1780620138
Jean William Bardenheier, MD's National Provider Identifier is 1780620138, issued on Jun 22, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Glendora, CA. The record was last updated on Feb 1, 2026.