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Search › California › 172V00000X

Bernard Keovoravongsa

NPI 1992294177 · on the registry since 2018

Practice

Address
275 Beck Ave
Fairfield, CA 94533
Phone
(707) 784-8849
Organisation at this address
Solano County
County Of Solano
County Of Solano
County Of Solano
County Of Solano
Inferred from a shared address, not stated in the registry.
Clinicians at this address
111

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
106S00000X
372600000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California