Berdakin, Daniel G
Berdakin, Daniel G is an individual health care provider with primary practice located at 2410 W 7Th St , Los Angeles CA 90057-3904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Berdakin, Daniel G can be contacted via phone (213) 381-7175.Contact Information
Primary practice address
2410 W 7Th St
Los Angeles CA 90057-3904
Phone: (213) 381-7175
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 207QA0000X | A35536 | California |
Profile Details
| NPI number | 1801949292 |
|---|---|
| LBN Legal business name | Berdakin, Daniel G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801949292 | NPPES |
| California | MEDICAID | 00A355360 |
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