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Individual

LEO E BERKENBILE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1812 VERDUGO BLVD, VERDUGO HILLS HOSPITAL ER, GLENDALE, CA 91208-1409
(818) 952-2222
Mailing address
3800 LA CRESCENTA AVE, #207, LA CRESCENTA, CA 91214-3924
(818) 957-9595

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
158554-1205
UT
207P00000X
Emergency Medicine Physician
G31523
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G315230
CA
Enumeration date
03/14/2007
Last updated
03/07/2017
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