SERGE BRONSTEIN


Address: 16808 Main St., D-154, Hesperia, CA 92345
Phone: 7143676193

SERGE BRONSTEIN (NPI# 1902260151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902260151
Entity Type Individual
Full Name SERGE BRONSTEIN
Practice Address 16808 Main St.
D-154
Hesperia
CA 92345
Practice Telephone 7143676193
Mailing Telephone 7143676193
Enumeration Date 2016-04-13
Last Update Date 2016-04-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
Behavioral Health & Social Service Providers

Office Location

Street Address 16808 MAIN ST.
D-154
City HESPERIA
State CA
Zip Code 92345

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1477974426 Aja Stoll Case Manager/Care Coordinator 9655 Ninth Ave, Hesperia, CA 92345 2013-12-18
1508101577 Jeffrey T Tahauri Public Health or Welfare 10661 Orchid Ave., Hesperia, CA 92345 2012-12-03
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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City HESPERIA
Zip Code 92345

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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