# BERKELEY GENERAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013624493
- **Authorized official:** DR. MIKAEL LANGNER MD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (484) 432-2177

## Contact information

- **Practice address:** 3017 TELEGRAPH AVE STE 210, BERKELEY, CA 94705-2049
- **Practice address phone:** (484) 432-2177
- **Practice address fax:** (415) 680-1717
- **Mailing address:** 1231 ASHBY AVE, BERKELEY, CA 94702-2401
- **Mailing address phone:** (484) 432-2177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/03/2022
- **Last updated:** 11/03/2022