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 |
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Address | File # 54433, Los Angeles, California |
Phone Number | 8586786886 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1205059086 |
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Provider Enumeration Date | 2007-04-10 |
Last Updated Date | 2012-01-27 |
Provider Mailing Address Detail
Address | File # 54433 |
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City | Los Angeles |
State | California (CA) |
Post Code | 900744433 |
Phone Number | 8586786886 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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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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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.