Individual
DR. J NICKOLAS BERBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 N HARBOR BLVD STE 100, FULLERTON, CA 92835-4107
(714) 879-0020
(714) 526-2020
Mailing address
1400 N HARBOR BLVD STE 100, FULLERTON, CA 92835-4107
(714) 879-0020
(714) 526-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G054630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G654300
—
CA
Enumeration date
02/16/2007
Last updated
10/25/2023
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