MEDICARE: JUNKO BIERNETZKY

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	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1295697944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUNKO BIERNETZKY

Provider Business Mailing Address
First Line	:	9802 BLOOMFIELD AVE APT 8
Second Line	:
City	:	CYPRESS
State	:	CA
Zip	:	90630-3473
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9802 BLOOMFIELD AVE APT 8
Second Line	:	APT 8
City	:	CYPRESS
State	:	CA
Zip	:	90630-3473
Country	:	US
Telephone Number	:	310-612-0881
Fax Number	:

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

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ JUNKO BIERNETZKY ” Practice Location

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