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Organization
EMMETT BERG DO INC. AND HOLVEY MEDICAL GROUP INC.
Active
Organization
EMMETT BERG DO INC. AND HOLVEY MEDICAL GROUP INC.
Active
Other names
Healthline Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MISS RITA GAUDIOSO (ADMINISTRATOR)
(818) 997-7711
Entity
Organization
Contact information
Practice address
15211 VANOWEN ST, SUITE 105, VAN NUYS, CA 91405-3606
(818) 997-7711
(818) 997-3744
Mailing address
15211 VANOWEN ST, SUITE 105, VAN NUYS, CA 91405-3606
(818) 997-7711
(818) 997-3744
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
09/11/2025
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