Healthcare Provider Details

I. General information

NPI: 1407769029
Provider Name (Legal Business Name): MR. STEVE BERNARD JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7285 QUILL DR
DOWNEY CA
90242-2001
US

IV. Provider business mailing address

1626 W 213TH ST
TORRANCE CA
90501-2920
US

V. Phone/Fax

Practice location:
  • Phone: 562-940-8681
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number128878
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: