Kimberly Michele Berry-Divinagra in Los Angeles - Physician Assistant

Kimberly Michele Berry-Divinagra - NPI 1205059086

Kimberly Michele Berry-Divinagra is a Physician Assistant in Los Angeles, California. Kimberly Michele Berry-Divinagra practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kimberly Michele Berry-Divinagra is 1205059086. The last update date is 2012-01-27.

Kimberly Michele Berry-Divinagra's current location address is File # 54433, Los Angeles, California. You can contact this provider via phone number 8586786886. The mailing address for Kimberly Michele Berry-Divinagra is File # 54433, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kimberly Michele Berry-Divinagra
Address File # 54433, Los Angeles, California
Phone Number 8586786886
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1205059086
Provider Enumeration Date 2007-04-10
Last Updated Date 2012-01-27

Provider Mailing Address Detail

Address File # 54433
City Los Angeles
State California (CA)
Post Code 900744433
Phone Number 8586786886
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 19019
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Kimberly Michele Berry-Divinagra

What is the Kimberly Michele Berry-Divinagra's 1205059086?

The Kimberly Michele Berry-Divinagra's NPI (National Provider Identifier) Number is 1205059086. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kimberly Michele Berry-Divinagra's facilities are situated?

The facilities of Kimberly Michele Berry-Divinagra are physically located at the following address: File # 54433, Los Angeles, CA, 900744433.

What is Kimberly Michele Berry-Divinagra's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kimberly Michele Berry-Divinagra's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.

On what date was the 1205059086 assigned to Kimberly Michele Berry-Divinagra?

The Kimberly Michele Berry-Divinagra was issued its 1205059086 on 2007-04-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kimberly Michele Berry-Divinagra, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kimberly Michele Berry-Divinagra, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-01-27.

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