Berman, Joel A
Berman, Joel A is an individual health care provider with primary practice located at 11100 Warner Ave 108, Fountain Valley CA 92708-7506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Berman, Joel A can be contacted via phone (714) 979-3201.Contact Information
Primary practice address
11100 Warner Ave 108
Fountain Valley CA 92708-7506
Phone: (714) 979-3201
Fax: (714) 979-1406
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G24685 | California |
Profile Details
| NPI number | 1790724490 |
|---|---|
| LBN Legal business name | Berman, Joel A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jun 30th, 2016 - about 9 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 | 1790724490 | NPPES |
| California | MEDICAID | 00G246851 |
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