Individual
EDI BERBIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8700 BEVERLY BLVD BLDG 220, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5252
(310) 423-1884
Mailing address
PO BOX 54679, LOS ANGELES, CA 90054-0679
(310) 423-5252
(310) 423-8441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A17422
CA
208M00000X
Hospitalist Physician
Primary
20A17422
CA
Other
Enumeration date
12/02/2014
Last updated
06/13/2022
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