Berg, Alan Mitchell

Berg, Alan Mitchell is an individual health care provider with primary practice located at 2625 W Alameda Ave 208, Burbank CA 91505-4806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Berg, Alan Mitchell can be contacted via phone (818) 845-3557.

Contact Information

Primary practice address
2625 W Alameda Ave 208 Burbank CA 91505-4806
Fax: (818) 845-2600
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G34555 California

Profile Details

NPI number 1992798920
LBN Legal business name Berg, Alan Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 8th, 2007 - about 19 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 1992798920 NPPES
California MEDICAID 00G345551

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