IndividualActive
Adicherla Bhavana
NPI 1497598122 · Community/Behavioral Health Agency · San Bernardino, CA
Provider details
- NPI number
- 1497598122
- Entity type
- Individual
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- P70877 (CA)
Specialties & taxonomies
Agencies
Practice location
5500 University Pkwy
San Bernardino, CA 92407-2318
Phone: (909) 537-5495
Approximate (ZIP-level) locationGet directions
Mailing address
5500 University Pkwy
San Bernardino, CA 92407-2318
Registry dates
- Enumerated
- 2024-06-19
- Last updated
- 2024-06-19
- Certified
- 2024-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.