Jack Berman in Los Angeles - Diagnostic Radiology
Jack Berman - NPI 1417977786
Jack Berman is a Diagnostic Radiology in Los Angeles, California. Jack Berman practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jack Berman is 1417977786. The last update date is 2022-08-08.
Jack Berman's current location address is 1516 Cotner Ave, Los Angeles, California. You can contact this provider via phone number 3104452951 and fax number 3104791459. The mailing address for Jack Berman is 1516 Cotner Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Berman |
|---|---|
| Address | 1516 Cotner Ave, Los Angeles, California |
| Phone Number | 3104452951 |
| Fax Number | 3104791459 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417977786 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2022-08-08 |
Provider Mailing Address Detail
| Address | 1516 Cotner Ave |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900253303 |
| Phone Number | 3104452951 |
| Fax Number | 3104791459 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | C33328 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00C333280 | CA | -- | |
| 00C333280 | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack Berman by the Centers for Medicare & Medicaid Services?
The Jack Berman has been issued the NPI (National Provider Identifier) 1417977786, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jack Berman's facilities are situated?
The facilities of Jack Berman are physically located at the following address: 1516 Cotner Ave, Los Angeles, CA, 900253303.
What is the area of specialization for Jack Berman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack Berman is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.
When did Jack Berman receive its 1417977786 assignment?
The Jack Berman was assigned its 1417977786 on 2006-07-20, which is the date when this unique identifier was issued to the organization.
When was the Jack Berman's information last updated?
The Jack Berman's information was last updated on 2022-08-08.