Individual
DIANE JO BERRIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, 111H, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 777-3280
Mailing address
29155 MAPLEWOOD PL, HIGHLAND, CA 92346-5404
(909) 864-1562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G066740
CA
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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