Berenson, James Richard

Berenson, James Richard is an sole proprietor health care provider with primary practice located at 9201 W Sunset Blvd Suite 310, West Hollywood CA 90069-3701. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Other Service Providers / Research Study. Other Service Providers / Specialist is his primary health care specialty. Berenson, James Richard can be contacted via phone (310) 623-1222.

Contact Information

Primary practice address
9201 W Sunset Blvd Suite 310 West Hollywood CA 90069-3701
Phone: (310) 623-1222
Fax: (310) 623-1123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G42018 California
Other Service Providers / Research Study 1744R1102X G42018 California

Profile Details

NPI number 1124051560
LBN Legal business name Berenson, James Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124051560 NPPES
California MEDICAID 00G420180

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