Individual
MS. KERIN BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1625 SCHRADER BLVD FL 3, LOS ANGELES, CA 90028-6213
(323) 957-5288
(323) 308-4402
Mailing address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 957-5288
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00844
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA00844
RHODE ISLAND STATE LICENSE
RI
Enumeration date
10/08/2015
Last updated
02/14/2018
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