MEDICARE: DR. GALEN E BERNSTEIN PHARMD

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	183500000X	Pharmacist	55501	CA

General Provider Information

NPI Number	:	1104108992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GALEN E BERNSTEIN PHARMD

Provider Business Mailing Address
First Line	:	1800 W SLAUSON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-1126
Country	:	US
Telephone Number	:	323-292-1941
Fax Number	:	323-292-4256

Provider Business Practice Location Address
First Line	:	1800 W SLAUSON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-1126
Country	:	US
Telephone Number	:	323-292-1941
Fax Number	:	323-292-4256

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

Provider Enumeration Date	:	09/16/2011
Last Update Date	:	09/16/2011

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Directions to “ DR. GALEN E BERNSTEIN PHARMD” Practice Location

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