MEDICARE: BERNARD ELPEDES DO

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	20A6887	CA

General Provider Information

NPI Number	:	1831127497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNARD ELPEDES DO

Provider Business Mailing Address
First Line	:	24321 AVENIDA DE LA CARLOTA
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3681
Country	:	US
Telephone Number	:	949-204-3006
Fax Number	:

Provider Business Practice Location Address
First Line	:	24321 AVENIDA DE LA CARLOTA
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3681
Country	:	US
Telephone Number	:	949-204-3006
Fax Number	:

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	03/12/2025

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