Organization
BERLOW CLINICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSTIN BERLOW MD (CEO)
(619) 894-4489
Entity
Organization
Contact information
Practice address
1104 CAMINO DEL MAR, SUITE 10, DEL MAR, CA 92014-2656
(619) 894-4489
Mailing address
1104 CAMINO DEL MAR, SUITE 10, DEL MAR, CA 92014-2656
(619) 894-4489
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
G076945
CA
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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