Provider Demographics
NPI:1194057208
Name:BERNSTEIN, HERMAN (MD)
Entity type:Individual
Prefix:MR
First Name:HERMAN
Middle Name:
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8500 MULHOLLAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-1033
Mailing Address - Country:US
Mailing Address - Phone:323-656-7109
Mailing Address - Fax:323-656-7643
Practice Address - Street 1:8500 MULHOLLAND DRIVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90046-1033
Practice Address - Country:US
Practice Address - Phone:323-656-7109
Practice Address - Fax:323-656-7643
Is Sole Proprietor?:No
Enumeration Date:2010-02-01
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACFE18801207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology