MEDICARE: BERNIE GERMANI JR.

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1942553953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNIE GERMANI JR.

Provider Business Mailing Address
First Line	:	4420 OLIVE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-2446
Country	:	US
Telephone Number	:	323-565-2386
Fax Number	:

Provider Business Practice Location Address
First Line	:	4420 OLIVE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-2446
Country	:	US
Telephone Number	:	323-565-2386
Fax Number	:

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

Provider Enumeration Date	:	10/16/2012
Last Update Date	:	10/16/2012

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Directions to “ BERNIE GERMANI JR. ” Practice Location

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