Berliner, Ross Albert

Berliner, Ross Albert is an sole proprietor health care provider with primary practice located at 1417 W Beverly Blvd 104, Montebello CA 90640-4123. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Berliner, Ross Albert can be contacted via phone (323) 721-6026.

Contact Information

Primary practice address
1417 W Beverly Blvd 104 Montebello CA 90640-4123
Phone: (323) 721-6026
Fax: (323) 887-1891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3948 California

Profile Details

NPI number 1881603074
LBN Legal business name Berliner, Ross Albert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 5th, 2006
Last updated Jan 31st, 2013 - about 12 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 1881603074 NPPES
California MEDICAID 000E39480
California Other W12208A
California MEDICAID GRE001100
California MEDICAID GRE000311
California Other P00171944
California Other W10901
California MEDICAID 000E39482
California MEDICAID GR0049330
California Other WE3948G
California MEDICAID GRE000310
California Other DA3847
California Other P00016205
California MEDICAID GR0047500
California Other W11318
California Other W12208

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