Individual
MR. CHARLES BERROYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.S.T.
Contact information
Practice address
23560 CRENSHAW BLVD, SUTIE 102, TORRANCE, CA 90505-5233
(310) 784-2355
Mailing address
1616 247TH PL, HARBOR CITY, CA 90710-2006
(310) 539-4493
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
079211
CA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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