Healthcare Provider Details

I. General information

NPI: 1811076409
Provider Name (Legal Business Name): STEVEN ALAN BERNFELD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 S 13TH ST STE C
GROVER BEACH CA
93433-2866
US

IV. Provider business mailing address

555 S 13TH ST STE C
GROVER BEACH CA
93433-2866
US

V. Phone/Fax

Practice location:
  • Phone: 805-473-5989
  • Fax: 805-473-0502
Mailing address:
  • Phone: 805-473-5989
  • Fax: 805-473-0502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC 16263
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: