Individual
DR. BLAKE WADE BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(143) 675-3907
(714) 367-1683
Mailing address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(714) 367-5390
(714) 367-1689
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
20A8839
CA
Other
Enumeration date
01/27/2007
Last updated
04/18/2020
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