Berry, Kimberly
Berry, Kimberly is an individual health care provider with primary practice located at 5900 S Eastern Ave 142, Commerce CA 90040-4017. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Berry, Kimberly can be contacted via phone (323) 278-6501.Contact Information
Primary practice address
5900 S Eastern Ave 142
Commerce CA 90040-4017
Phone: (323) 278-6501
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | California |
Profile Details
| NPI number | 1285905224 |
|---|---|
| LBN Legal business name | Berry, Kimberly |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2012 |
| Last updated | Jan 23rd, 2012 - about 13 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 | 1285905224 | NPPES |
| California | MEDICAID | 7429 |
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