Organization
UNIVERSITY HEAD AND NECK ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD S BERKE (PROF CHIEF HEAD AND NECK UCLA)
(310) 825-5179
Entity
Organization
Contact information
Practice address
200 MEDICAL PLAZA, 550, LOS ANGELES, CA 90095
(310) 206-6688
(310) 206-1393
Mailing address
PO BOX 512025, DEPT A20, LOS ANGELES, CA 90051
(310) 206-6688
(310) 206-1393
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
—
207YX0901X
Otology & Neurotology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YYY49086Y
—
CA
Enumeration date
09/02/2006
Last updated
06/07/2011
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