Individual
DR. GORDON MARK BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1626 WESTWOOD BLVD, SUITE 106, LOS ANGELES, CA 90024-5621
(310) 475-3376
(310) 475-4704
Mailing address
1626 WESTWOOD BLVD, SUITE 106, LOS ANGELES, CA 90024-5621
(310) 475-3376
(310) 475-4704
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
RP40
CA
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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