# ELITE INTEGRATIVE MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BERK CHIROPRACTIC, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760006712
- **Legal business name:** BERK CHIROPRACTIC, INC.
- **Authorized official:** DR. EVAN BRUCE BERK DC (PRESIDENT)
- **Authorized official phone:** (310) 888-8896

## Contact information

- **Practice address:** 153 S DOHENY DR, BEVERLY HILLS, CA 90211-2509
- **Practice address phone:** (310) 888-8896
- **Mailing address:** 153 S DOHENY DR, BEVERLY HILLS, CA 90211-2509
- **Mailing address phone:** (310) 888-8896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/05/2020
- **Last updated:** 09/29/2021