Individual
GERALD SPENCER BERKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 MEDICAL PLAZA, #550, LOS ANGELES, CA 90095
(310) 203-3388
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 203-6688
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G40243
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G402430
—
CA
Enumeration date
07/28/2006
Last updated
05/26/2011
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