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Organization
BORIS BERZON MD INC
Active
Organization
BORIS BERZON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS BERZON (PRESIDENT)
(323) 730-5600
Entity
Organization
Contact information
Practice address
3631 CRENSHAW BLVD, STE 102 103, LOS ANGELES, CA 90016-4869
(323) 730-5600
Mailing address
3631 CRENSHAW BLVD, STE 102 103, LOS ANGELES, CA 90016-4869
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A70349
LICENSE
CA
Enumeration date
12/10/2007
Last updated
04/20/2008
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