Individual
KERBY OBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-6422
Mailing address
PO BOX 1740, LOMA LINDA, CA 92354-0240
(909) 558-6422
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
G76540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G765100
—
CA
Enumeration date
08/18/2006
Last updated
07/08/2007
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