Individual
DR. EMILY RUTH BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
315 E ROUTE 66, GLENDORA, CA 91740-6244
(626) 963-4124
Mailing address
35 E GLENARM ST, PASADENA, CA 91105-3418
(626) 768-4415
(626) 403-0321
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A131321
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A131321
CALIFORNIA MEDICAL BOARD PHYSICIAN AND SURGEON LICENSE
CA
Enumeration date
08/06/2014
Last updated
01/30/2024
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