Individual
MR. GARY M BERKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CP
Contact information
Practice address
2001 WINWARD WAY, SUITE 100, SAN MATEO, CA 94404-2499
(650) 365-5861
(650) 365-5896
Mailing address
2001 WINWARD WAY, SUITE 100, SAN MATEO, CA 94404-2499
(650) 365-5861
(650) 365-5896
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CP1628
—
224P00000X
Prosthetist
Primary
CP1628
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XB0016280
MEDICAL
CA
05
—
XB0016280
—
CA
Enumeration date
07/17/2006
Last updated
07/21/2022
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