Organization
EJ BERMAN AND TC DOERNER MD PROF INC
Active
Other names
edward j berman md
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD J BERMAN M.D. (OWNER)
(310) 329-4183
Entity
Organization
Contact information
Practice address
1141 W REDONDO BEACH BLVD, SUITE 206, GARDENA, CA 90247-3586
(310) 329-4183
(310) 329-2352
Mailing address
1141 W REDONDO BEACH BLVD, SUITE 206, GARDENA, CA 90247-3586
(310) 329-4183
(310) 329-2352
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G5759
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0047310
—
CA
Enumeration date
06/08/2007
Last updated
08/22/2020
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