MEDICARE: DR. ATUL BEMBI D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	20A7865	CA

General Provider Information

NPI Number	:	1477524320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ATUL BEMBI D.O.

Provider Business Mailing Address
First Line	:	7798 CHERRY AVE.
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92336
Country	:	US
Telephone Number	:	909-355-1296
Fax Number	:

Provider Business Practice Location Address
First Line	:	7798 CHERRY AVE.
Second Line	:
City	:	FONTANA
State	:	CA
Zip	:	92336
Country	:	US
Telephone Number	:	909-355-1296
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2006
Last Update Date	:	07/08/2007

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