Individual
DEAN BRUCE BERKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9675 BRIGHTON WAY, SUITE 100, BEVERLY HILLS, CA 90210-5100
(310) 275-1646
(310) 275-4294
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A34100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A341000
BLUE SHIELD
CA
05
—
00A341001
—
CA
Enumeration date
07/27/2006
Last updated
12/01/2010
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