Organization
ELITE INTEGRATIVE MEDICAL
Active
Parent organization
BERK CHIROPRACTIC, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BERK CHIROPRACTIC, INC.
Authorized official
DR. EVAN BRUCE BERK DC (PRESIDENT)
(310) 888-8896
Entity
Organization
Contact information
Practice address
153 S DOHENY DR, BEVERLY HILLS, CA 90211-2509
(310) 888-8896
Mailing address
153 S DOHENY DR, BEVERLY HILLS, CA 90211-2509
(310) 888-8896
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
09/29/2021
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