Individual
LEILA D BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1672
NV
363A00000X
Physician Assistant
PA23108
CA
363AM0700X
Medical Physician Assistant
PA1672
NV
363AM0700X
Medical Physician Assistant
Primary
PA23108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V52366
MEDICARE PTAN
NV
Enumeration date
08/07/2013
Last updated
08/15/2026
Update your record
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