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Individual

MR. BERLIN VINCENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9500 GILMAN DR, LA JOLLA, CA 92093-5004
(760) 224-2952
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
96947501
NY
367500000X
Certified Registered Nurse Anesthetist
96947501
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95001625
CA

Other

Enumeration date
11/17/2021
Last updated
03/31/2026
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