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Organization

UNIVERSITY HEAD AND NECK ASSOCIATES

Active
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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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