Individual
DR. JONATHAN BEROUKHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6950 N PARAMOUNT BLVD, LONG BEACH, CA 90805-1863
(562) 278-3080
Mailing address
1818 PELHAM AVE APT 108, LOS ANGELES, CA 90025-4756
(310) 666-3276
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
102324
CA
Other
Enumeration date
05/31/2018
Last updated
03/19/2021
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