Individual
DAN BEROUKHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5432 SEPULVEDA BLVD STE A, CULVER CITY, CA 90230-5512
(310) 498-5682
Mailing address
2010 S BEVERLY GLEN BLVD UNIT 201, LOS ANGELES, CA 90025-5179
(310) 498-5682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
64635
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
474997382
METLIFE
CA
Enumeration date
11/19/2015
Last updated
10/20/2017
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