Bersohn, Malcolm Mark
Bersohn, Malcolm Mark is an individual health care provider with primary practice located at 100 Ucla Medical Plz Ste 690 , Los Angeles CA 90024-7000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bersohn, Malcolm Mark can be contacted via phone (310) 206-2235.Contact Information
Primary practice address
100 Ucla Medical Plz Ste 690
Los Angeles CA 90024-7000
Phone: (310) 206-2235
Fax: (310) 825-2092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | G40062 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G40062 | California |
Profile Details
| NPI number | 1275558348 |
|---|---|
| LBN Legal business name | Bersohn, Malcolm Mark |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Jan 7th, 2020 - about 5 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 | 1275558348 | NPPES |
| California | MEDICAID | 00G400620 |
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